INNER BALANCE PSYCHOTHERAPY SERVICES LTD (NPI# 1154510279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154510279 |
| Entity Type | Organization |
| Organization Name | INNER BALANCE PSYCHOTHERAPY SERVICES LTD |
| Practice Address |
561 W Diversey Pkwy Suite 210 Chicago IL 60614-6068 |
| Practice Telephone | 7732449620 |
| Practice Fax Number | 7732449622 |
| Mailing Telephone | 7732449620 |
| Mailing Fax Number | 7732449622 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2014-01-12 |
| Authorized Official Name | JENNIFER WANG (PRESIDENT) |
| Authorized Official Telephone | 7732449620 |
| Authorized Official Credential | L.C.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
561 W DIVERSEY PKWY SUITE 210 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-6068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114014107 | Jennifer Wang | Social Worker | 561 W Diversey Pkwy, Suite 210, Chicago, IL 60614-6068 | 2006-10-10 |
| 1790393296 | Deanna Marie Rondero | Dietitian, Registered | 561 W Diversey Pkwy, Chicago, IL 60614-6068 | 2020-07-21 |
| 1760016075 | Elizabeth Spencer | Dietitian, Registered | 561 W Diversey Pkwy, Chicago, IL 60614-6068 | 2020-02-25 |
| 1750875407 | Valentina Djordjevic | Physician Assistant | 561 W Diversey Pkwy, Chicago, IL 60614-6068 | 2018-06-17 |
| 1659878049 | Vanessa Chobot Lennie | Dietitian, Registered | 561 W Diversey Pkwy, Chicago, IL 60614-6068 | 2018-04-11 |
| 1386065654 | Erika Kimberly Siesennop | Dietitian, Registered | 561 W Diversey Pkwy, Suite 219, Chicago, IL 60614-6068 | 2014-01-03 |
| 1225351166 | Julie Troob | Social Worker | 561 W Diversey Pkwy, Suite 216, Chicago, IL 60614-6068 | 2010-03-06 |
| 1427210962 | Cappy Silver | Social Worker | 561 W Diversey Pkwy, Ste 210a, Chicago, IL 60614-6068 | 2008-06-26 |
| 1467640177 | Catherine J Minnick Dpm PC | Podiatrist | 561 W Diversey Pkwy, Suite 212, Chicago, IL 60614-6068 | 2007-10-09 |
| 1821200379 | Nickolas Georgiopoulos | Dentist | 561 W Diversey Pkwy, Suite 205, Chicago, IL 60614-6068 | 2007-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| 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 |
|---|---|---|---|---|
| 1245831569 | Chicago Psychiatric LLC | Clinic/Center | 800 W Cornelia Ave Apt 303, Chicago, IL 60657-2086 | 2020-11-03 |
| 1184223133 | Kevin P. Mcdunn, Psyd, LLC | Clinic/Center | 605 W Madison St Apt 2001, Chicago, IL 60661-2469 | 2020-10-21 |
| 1124634852 | Prosper Counseling Services | Clinic/Center | 808 W Junior Ter Apt 303, Chicago, IL 60613-1657 | 2020-09-17 |
| 1265040760 | Orchid Counseling Chicago | Clinic/Center | 451 W Melrose St Apt 610, Chicago, IL 60657-3826 | 2020-07-21 |
| 1164040630 | Sunshine Therapy Pllc | Clinic/Center | 3328 N Bell Ave, Chicago, IL 60618-6204 | 2020-07-10 |
| 1437776879 | Vesna Healing, LLC | Clinic/Center | 1225 W Morse Ave Apt 203, Chicago, IL 60626-5675 | 2020-07-01 |
| 1144843152 | Healing and Fuerza Therapy LLC | Clinic/Center | 3735 S Wallace St 1r, Chicago, IL 60609 | 2020-05-26 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1437771979 | Healthy Mind and Body LLC | Clinic/Center | 10540 S Western Ave Ste 507, Chicago, IL 60643-2529 | 2020-05-07 |
| 1346877412 | Mind Body Center | Clinic/Center | 2551 N Clark St Ste 301, Chicago, IL 60614-7732 | 2020-03-26 |
| Find all providers in CHICAGO | ||||
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| 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.