MEDICARE: BALANCE MIND & WELLNESS PSYCHIATRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1508727082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALANCE MIND & WELLNESS PSYCHIATRY

Provider Business Mailing Address
First Line	:	2810 MORRIS AVE STE 210
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-4841
Country	:	US
Telephone Number	:	732-642-3651
Fax Number	:

Provider Business Practice Location Address
First Line	:	2810 MORRIS AVE STE 210
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-4841
Country	:	US
Telephone Number	:	732-642-3651
Fax Number	:

Authorized Official
Title or Position	:	PMHNP-BC
Name	:	STEPHANIE ALTEMA
Credential	:	APRN, PMHNP-BC
Telephone Number	:	732-642-3651

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	12/30/2025

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