Rebalance Psychiatry, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

REBALANCE PSYCHIATRY, PLLC

Practice address

4824 E Baseline Rd Ste 124
Mesa, AZ 85206-4679

Phone

(602) 388-1530

Fax

(800) 396-9423

NPI assigned

Apr 15, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Irene Martin, PMHNP-BCNPI 1417634486

Title

Ownerpsychiatric Nurse Practitioner

Phone

(602) 388-1530

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irene Martin

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1417634486
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1982490264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1010",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853390769",
            "telephone_number": "602-388-1530",
            "fax_number": "800-396-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 E BASELINE RD STE 124",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064679",
            "telephone_number": "602-388-1530",
            "fax_number": "800-396-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBALANCE PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OWNERPSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "602-388-1530",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylee A Read, OTR
• Emily Lynne Reader, SLPA
• Lawrence Robert Reader Jr., M.D.
• Real Health Partnership PLLC
• Barbara Marie Reardon II
• Rebel Enterprise LLC
• Jennifer Lynn Reber, BSN, RN
• Lauren Terese Rebman, PMHNP-BC
• Reboot Detox Az LLC
• Marie Noelle M Recalde, FNP-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.