Blue Stone Wellness LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BLUE STONE WELLNESS LLC

Practice address

7710 NW 71St Court, Tamarac, FL 33321
Suite 305
Tamarac, FL 33321

Phone

(754) 205-7619

NPI assigned

Jun 23, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Jaime K. Blaustein

Title

Ceo

Phone

(754) 205-7619

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• Jillian Helena Aldrich, LPN

  • Licensed Practical Nurse
  • Tamarac, FL
  • NPI 1578308193
  NPD (past)
• Kevin Andrew Damms, LPN

  • Licensed Practical Nurse
  • Tamarac, FL
  • NPI 1164239612
  NPD (past)
• Tricia Semone Taylor, LPN

  • Licensed Practical Nurse
  • Tamarac, FL
  • NPI 1558009928
  NPD (past)

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1306577960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 NW 71ST CT STE 101",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212930",
            "telephone_number": "754-205-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 NW 71ST COURT, TAMARAC, FL 33321",
            "address_2": "SUITE 305",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "33321",
            "telephone_number": "754-205-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STONE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "BLAUSTEIN",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "754-205-7619",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Bizzarro, MSW
• Tatyana Blackmon, LCSW
• Kelly Lauraine Blake Frances, PT, DPT
• Ricardo Blanc
• Blue Ribbon Care Assisted Living Facility III, LLC
• Annie Blystone
• BMG Recovery
• Lauren Bo
• Boca Medical Specialists, Inc
• Clifford E. Boehm, M.D.

• Psychiatry Physician in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.