Balance Behavioral Health | |
1920 Dunbarton Dr Jackson MS 39216-5001 | |
(601) 627-7400 | |
(601) 627-7401 |
Full Name | Balance Behavioral Health |
---|---|
Speciality | Psychiatry & Neurology |
Location | 1920 Dunbarton Dr, Jackson, Mississippi |
Authorized Official Name and Position | Sagar H Patel (OWNER/MD) |
Authorized Official Contact | 6016277400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Balance Behavioral Health Po Box 2862 Ridgeland MS 39158-2862 Ph: (601) 627-7400 | Balance Behavioral Health 1920 Dunbarton Dr Jackson MS 39216-5001 Ph: (601) 627-7400 |
NPI Number | 1255818076 |
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Provider Enumeration Date | 07/24/2018 |
Last Update Date | 06/11/2020 |
Certification Date | 06/11/2020 |
Medicare PECOS PAC ID | 7810223559 |
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Medicare Enrollment ID | O20190801002412 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255818076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (Mississippi) | Primary |
Provider Name | Sagar H Patel |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1386725570 PECOS PAC ID: 8325115959 Enrollment ID: I20080924000391 |
Provider Name | Jennifer Linette Simmons |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821597691 PECOS PAC ID: 2769836535 Enrollment ID: I20230927002755 |
Provider Name | Amanda D. Nason |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396292033 PECOS PAC ID: 4981059011 Enrollment ID: I20231010003114 |
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