Active NPI
Eucalyptusone
Doing business as Bl3Nd Tele Psych
- Psychiatry Physician
- Glenwood, NJ
National Provider Identifier
1053018317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- EUCALYPTUSONE
- Doing business as
- Bl3Nd Tele Psych
- Practice address
- 1 Vernon View Dr W
Glenwood, NJ 07418-1010 - Phone
- (917) 909-9449
- NPI assigned
- Feb 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Fermin Cruz
- Title
- Administrator
- Phone
- (917) 224-7347
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | |||
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Geriatric Psychiatry Physician | 2084P0805X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | |||
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X |
Addresses
Primary practice location
1 Vernon View Dr W
Glenwood, NJ 07418-1010
Mailing address
PO Box 92
Glenwood, NJ 07418-0092
Phone (917) 909-9449
Other practice location 1
447 Broadway Ste 1288
New York, NY 10013-2562
Phone (833) 519-1327
Other names 1
- BL3ND TELE PSYCH
National Provider Directory
National Provider DirectoryLocations
447 Broadway
Ste 1288
New York, NY 10013
Phone (833) 519-1327
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Wayne, NJ
- NPI 1952901217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784505600000",
"number": "1053018317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 92",
"city": "GLENWOOD",
"state": "NJ",
"postal_code": "074180092",
"telephone_number": "917-909-9449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 VERNON VIEW DR W",
"city": "GLENWOOD",
"state": "NJ",
"postal_code": "074181010",
"telephone_number": "917-909-9449"
}
],
"practiceLocations": [
{
"address_1": "447 Broadway Ste 1288",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100132562",
"country_code": "US",
"telephone_number": "833-519-1327",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EUCALYPTUSONE",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-07",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A",
"authorized_official_last_name": "CRUZ",
"authorized_official_first_name": "FERMIN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "917-224-7347",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BL3ND TELE PSYCH",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glenwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.