Blue Skies Behavioral Health

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

24132 Issued in CA

Legal business name

BLUE SKIES BEHAVIORAL HEALTH

Practice address

15525 Pomerado Rd
Suite B-1
Poway, CA 92064-2435

Phone

(858) 243-3245

NPI assigned

Sep 4, 2013

Last updated

Sep 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Erika Swift Holtermann, PHD

Title

President

Phone

(858) 243-3245

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1144655507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15525 POMERADO RD",
            "address_2": "SUITE B-1",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642435",
            "telephone_number": "858-243-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15525 POMERADO RD",
            "address_2": "SUITE B-1",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642435",
            "telephone_number": "858-243-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKIES BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "HOLTERMANN",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "SWIFT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-243-3245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "24132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Lan-Khanh Blair, PA-C
• Allison Blakeman
• Maryna Blom, RPH
• David Isaac Bloomberg, OD
• Michael Blott, D.C.
• Mary Lueaples Blue
• Anthony Bocanegra
• Bernard J Bogard, MD
• Philip Gregory Bohart, M.D
• Jarissa Bojorquez

• Adolescent and Children Mental Health Clinic/Center in Poway, CA
• Providers in Poway, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.