NPIMap

Organization Active NPI

Blue Skies Therapy Services LLC

  • Community/Behavioral Health Agency
  • Lake Worth, FL
National Provider Identifier
1386041168
Registry record updated Nov 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW10421 Issued in FL
Legal business name
BLUE SKIES THERAPY SERVICES LLC
Practice address
1709 N J Ter
Lake Worth, FL 33460-6529
Phone
(561) 921-5162
NPI assigned
Nov 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2014

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

Authorized official

Name
Mona Bartram, LCSW
Title
Owner
Phone
(561) 921-5162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW10421 FL Primary

Addresses

Primary practice location

1709 N J Ter
Lake Worth, FL 33460-6529

Mailing address

1709 N J Ter
Lake Worth, FL 33460-6529
Phone (561) 921-5162

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416700800000",
    "number": "1386041168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 N J TER",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334606529",
            "telephone_number": "561-921-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 N J TER",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334606529",
            "telephone_number": "561-921-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKIES THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-23",
        "last_updated": "2014-11-23",
        "status": "A",
        "authorized_official_last_name": "BARTRAM",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-921-5162",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW10421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2014; 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.