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BLUE SKY MENTAL HEALTH CLINIC NPI 1184204745


NPI Information

NPI: 1184204745
Provider Name: BLUE SKY MENTAL HEALTH CLINIC

Doing Business As: BLUE SKY MENTAL HEALTH CLINIC LLC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
10301 GEORGIA AVE STE 203
SILVER SPRING, MD
ZIP 20902
Phone: (301) 754-3740
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BLUE SKY MENTAL HEALTH CLINIC is a mental health (including community mental health center) clinic center in Silver Spring, MD. BLUE SKY MENTAL HEALTH CLINIC NPI is 1184204745. The provider is registered as an organization entity type.
The provider Is Doing Business As Blue Sky Mental Health Clinic Llc.

The provider's business location address is:

10301 GEORGIA AVE STE 203
SILVER SPRING, MD
ZIP 20902-020
Phone: (301) 754-3740

The provider's authorized official is Jason Gadner Eliassaint .
The authorized official title is Pmhnp-bc and has the following contact phone number (404) 992-1632.

The enumeration date for this NPI number is 4/8/2021 and was last updated on 5/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
2261QM0850XClinic/CenterAdult Mental HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.