Bluestone Psychiatry, PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

BLUESTONE PSYCHIATRY, PLLC

Practice address

5664 Bee Ridge Rd Ste 203
Sarasota, FL 34233-1504

Phone

(877) 422-9355

Fax

(877) 422-9355

NPI assigned

Jan 9, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jordana Hollen, MDNPI 1649472242

Title

Co-Founder

Phone

(877) 422-9355

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Bluestone Psychiatry PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bluestone Psychiatry, PLLC

  • Psychiatry Physician
  • Sarasota, FL
  • NPI 1700563053
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordana Werner Hollen, M.D.

  • Psychiatry Physician
  • Sarasota, FL
  • NPI 1649472242
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610150400000",
    "number": "1003404575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5664 BEE RIDGE RD STE 203",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331504",
            "telephone_number": "877-422-9355",
            "fax_number": "877-422-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5664 BEE RIDGE RD STE 203",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331504",
            "telephone_number": "877-422-9355",
            "fax_number": "877-422-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTONE PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2020-12-19",
        "status": "A",
        "authorized_official_last_name": "HOLLEN",
        "authorized_official_first_name": "JORDANA",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "877-422-9355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1528493400",
            "identifier": "1528493400",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.bluestone.health",
            "affiliation": "N",
            "address_1": "5664 Bee Ridge Rd Ste 203",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342331504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brian D. Blondin, M.D.
• Cynthia R. Bloom, M.D.
• Frederick L Bloom, M.D.
• Blue Sky Psychological Services, PA
• Blue Waters Health Center, LLC
• Bluestone Psychiatry, PLLC
• Gary B Blume, MD
• Tara Irene Blumenthal, PTA
• BMN Medical Services LLC
• BMP Healthcare, LLC

• Neurology Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.