NPIMap

Organization Active NPI

Blue Sky Mental Health Clinic LLC

  • Adult Mental Health Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1184204745
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BLUE SKY MENTAL HEALTH CLINIC LLC
Doing business as
Blue Sky Mental Health clinic LLC
Practice address
10301 Georgia Ave Ste 203W
Silver Spring, MD 20902-5020
Phone
(240) 865-3135
NPI assigned
Apr 8, 2021
Last updated
Jul 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Mr. Jason Gadner Eliassaint, APRNNPI 1972143915
Title
Owner
Phone
(404) 992-1632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

10301 Georgia Ave Ste 203W
Silver Spring, MD 20902-5020

Mailing address

10301 Georgia Ave Ste 203W
Silver Spring, MD 20902-5020
Phone (404) 992-1632

Other practice location 1

3831 Pennsylvania Ave SE
Washington, DC 20020-1309
Phone (202) 304-1088

Other names 1

  • Blue Sky Mental Health clinic LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250811000814 DC Part B Supplier - Clinic/Group Practice 4284132176 Receives reassigned benefits from 6 practitioners
Practice locations: Laurel, MD; Silver Spring, MD

National Provider Directory

National Provider Directory
Tax ID family
Blue Sky Mental Health Clinic2 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.

Locations

14504 Greenview Dr
Ste 202
Laurel, MD 20708
Phone (240) 377-0260

10301 Georgia Ave
Ste 203W
Silver Spring, MD 20902
Phone (240) 865-3135

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1184204745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 GEORGIA AVE STE 203W",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025020",
            "telephone_number": "404-992-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 GEORGIA AVE STE 203W",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025020",
            "telephone_number": "240-865-3135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3831 Pennsylvania Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200201309",
            "country_code": "US",
            "telephone_number": "202-304-1088",
            "fax_number": "202-792-5619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUE SKY MENTAL HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "ELIASSAINT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "GADNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-992-1632",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Sky Mental Health clinic LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Sky Mental Health clinic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.