BALANCE TREATMENT SLO, INC (NPI# 1295110674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295110674 |
Entity Type | Organization |
Organization Name | BALANCE TREATMENT SLO, INC |
Practice Address |
1551 Bishop St Ste 130a San Luis Obispo CA 93401-4635 |
Mailing Address |
4505 Las Virgenes Rd Ste 201 Calabasas CA 91302-1956 |
Practice Telephone | 8054417566 |
Mailing Telephone | 8188800800 |
Mailing Fax Number | 8188808910 |
Enumeration Date | 2015-07-27 |
Last Update Date | 2016-06-15 |
Authorized Official Name | MRS. JENNIFER CUSACK (CFO) |
Authorized Official Telephone | 3236469271 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
N | 283Q00000X | Psychiatric Hospital | Hospitals | ||
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
Street Address |
1551 BISHOP ST STE 130A |
City | SAN LUIS OBISPO |
State | CA |
Zip Code | 93401-4635 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801897012 | Mick Scott Meiselman | Internal Medicine | 1551 Bishop St, Suite 230, San Luis Obispo, CA 93401-4635 | 2005-08-10 |
1285186106 | Mick S. Meiselman, M.d., Professional Corporation | Internal Medicine | 1551 Bishop St, Suite 230, San Luis Obispo, CA 93401-4635 | 2016-10-26 |
1295148492 | Sarah Van Camp | Pediatrics | 1551 Bishop St, San Luis Obispo, CA 93401-4635 | 2014-06-04 |
1629321849 | Karen Ann Fong Md | Pediatrics | 1551 Bishop St, Suite 310, San Luis Obispo, CA 93401-4635 | 2012-10-25 |
1356693683 | Michael S Mcconnell | Registered Nurse | 1551 Bishop St, A160, San Luis Obispo, CA 93401-4635 | 2012-10-10 |
1396025094 | Kelsey Ann Kehoe | Marriage & Family Therapist | 1551 Bishop St, Suite 510- E, San Luis Obispo, CA 93401-4635 | 2011-08-25 |
1992002182 | Allergy Partners of California, Inc. | Allergy & Immunology | 1551 Bishop St, Suite 520, San Luis Obispo, CA 93401-4635 | 2011-02-24 |
1962716316 | Julie Jensen Kean | Advanced Practice Midwife | 1551 Bishop St, C310, San Luis Obispo, CA 93401-4635 | 2010-07-27 |
1154576239 | Brandon James Slade | Podiatrist | 1551 Bishop St, San Luis Obispo, CA 93401-4635 | 2008-11-17 |
1508020462 | Elizabeth Ann Spears | Physician Assistant | 1551 Bishop St, Suite 220, San Luis Obispo, CA 93401-4635 | 2008-07-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
Find all providers in zip 93401 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316143852 | San Luis Obispo County | Clinic/Center | 2925 Mcmillan Ave Ste 124, San Luis Obispo, CA 93401-6765 | 2007-06-22 |
1497280366 | Wellmind | Clinic/Center | 1411 Marsh St, Suite 108, San Luis Obispo, CA 93401-2957 | 2017-04-27 |
1669898367 | Kirsten Lowry Psychologist Inc | Clinic/Center | 1985 Johnson Ave, San Luis Obispo, CA 93401-4131 | 2014-03-05 |
1891118220 | California Department of Corrections and Rehabilitation | Clinic/Center | Highway One, San Luis Obispo, CA 93406-0144 | 2014-01-21 |
1013183557 | Transitions - Mental Health Association | Clinic/Center | 277 South St, Suite Y, San Luis Obispo, CA 93401-5039 | 2008-05-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598365652 | Hearts for Sight Foundation | Clinic/Center | 1540 Prospect Ave Apt A, San Gabriel, CA 91776-4484 | 2020-10-28 |
1679172290 | Cyti Psychology PC | Clinic/Center | 3025 Calico St, Santee, CA 92071-5678 | 2020-10-23 |
1427655810 | An Elegant Sufficiency, A Psychological Corporation | Clinic/Center | 672 W 11th St Ste 354, Tracy, CA 95376-3821 | 2020-10-08 |
1184231508 | Rh Community Builders Lp. | Clinic/Center | 1040 N Pleasant Ave, Fresno, CA 93728-2434 | 2020-09-29 |
1730795337 | Full Circle Psychotherapy | Clinic/Center | 6741 Sebastopol Ave Ste 110, Sebastopol, CA 95472-3838 | 2020-09-18 |
1871108928 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln Ste 200, Palm Desert, CA 92211-0468 | 2020-09-14 |
1619581337 | Family Tree Psychology Group Inc. | Clinic/Center | 3655 Grand Ave, Oakland, CA 94610-2009 | 2020-09-01 |
1306459029 | Lisa Eaton Therapy and Coaching, A Licensed Clinical Social Worker Cor | Clinic/Center | 3014 Lupine, Lake Forest, CA 92630-8439 | 2020-08-24 |
1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
1417566605 | Freedom Family Counseling Group Corp. | Clinic/Center | 190 S Orchard Ave Ste C230, Vacaville, CA 95688-3657 | 2020-07-23 |
Find all providers with the same taxonomy |
City | SAN LUIS OBISPO |
Zip Code | 93401 |
Please comment or provide details below to improve the information on BALANCE TREATMENT SLO, INC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.