BLUE SKY THERAPEUTIC SERVICES INC. (NPI# 1770092454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770092454 |
| Entity Type | Organization |
| Organization Name | BLUE SKY THERAPEUTIC SERVICES INC. |
| Practice Address |
7 Tierra Madre Rd Placitas NM 87043-9400 |
| Practice Telephone | (505) 400-5632 |
| Practice Fax Number | 5054332106 |
| Mailing Telephone | 5054005632 |
| Mailing Fax Number | 5054332106 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MS. BRENDA KAY LEE (THERAPIST/CEO) |
| Authorized Official Telephone | 5054005632 |
| Authorized Official Credential | MS, LPPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
00148021 | NM | Ambulatory Health Care Facilities |
| Street Address |
7 TIERRA MADRE RD |
| City | PLACITAS |
| State | NM |
| Zip Code | 87043-9400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174690234 | M Candis Mcguire Westby | Social Worker | 102 Vista Montana Loop, Placitas, NM 87043 | 2006-11-30 |
| 1043380041 | Judith Acosta | Social Worker | 16 Roadrunner Trail, Placitas, NM 87043 | 2006-11-08 |
| 1275562548 | Shara Moscinska | Counselor | 3 Homesteads Rd., Suite E, Placitas, NM 87043 | 2006-06-30 |
| 1922084201 | Rachael H Tingen | Dentist | 3 Homesteads Rd, Bldg. B, Placitas, NM 87043 | 2005-12-19 |
| 1861889354 | Justin Woods | Family Medicine | 10 Avenida Fresca, Placitas, NM 87043-8003 | 2015-04-22 |
| 1093043283 | Nadine Marie Hober | Nurse Practitioner | 25 Llano Del Norte, Placitas, NM 87043-8306 | 2009-11-26 |
| 1669773339 | Aaron Foster | Counselor | 9 Wildflower Ct, Placitas, NM 87043-8337 | 2010-11-10 |
| 1790789493 | Josef Nisenbaum | Radiology | 126 Diamond Tail Rd, Placitas, NM 87043-8338 | 2005-06-09 |
| 1518366434 | Irene Gale | Pharmacist | 3 Maize Trl, Placitas, NM 87043-8339 | 2014-08-15 |
| 1700218526 | Audrey Susan Petzold | Occupational Therapist | 32 Cuchilla De Lupe Rd, Placitas, NM 87043-8716 | 2013-08-02 |
| Find all providers in zip 87043 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| 1386138451 | Inner Peak Youth Counseling, LLC | Clinic/Center | 11000 Candelaria Rd Ne, Albuquerque, NM 87112-1751 | 2018-06-21 |
| 1063929826 | A New Leaf Counseling Services, LLC | Clinic/Center | 5005 4th St Nw Ste 201, Albuquerque, NM 87107-3916 | 2018-01-02 |
| 1730698309 | Equine Assisted Programs of Southern New Mexico LLC | Clinic/Center | 190 Providence Road, Las Cruces, NM 88007 | 2017-09-26 |
| 1356733158 | Southwest Pueblo Consultants and Counseling Services, LLC | Clinic/Center | 5020 San Pedro Ct Ne, Albuquerque, NM 87109-2515 | 2015-03-03 |
| 1194120162 | Audra Carrie May | Clinic/Center | 5301 Sequoia N.w., Albuquerque, NM 87120 | 2014-11-03 |
| 1033546486 | New Mexico State University | Clinic/Center | Corner of Stewart Street and Sweet Avenue, New Mexico State University O'donnell Hall #047, Las Cruces, NM 88003-0005 | 2013-10-01 |
| Find all providers with the same taxonomy | ||||
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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.