Healthcare Provider Details

I. General information

NPI: 1508727082
Provider Name (Legal Business Name): BALANCE MIND & WELLNESS PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2810 MORRIS AVE STE 210
UNION NJ
07083-4841
US

IV. Provider business mailing address

2810 MORRIS AVE STE 210
UNION NJ
07083-4841
US

V. Phone/Fax

Practice location:
  • Phone: 732-642-3651
  • Fax:
Mailing address:
  • Phone: 732-642-3651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE ALTEMA
Title or Position: PMHNP-BC
Credential: APRN, PMHNP-BC
Phone: 732-642-3651