Organization Active NPI

Bluesky Telepsych, SC

  • Psychiatry Physician
  • Charlotte, NC
National Provider Identifier
1407464589
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BLUESKY TELEPSYCH, SC
Practice address
301 McCullough Dr
Charlotte, NC 28262-3310
Phone
(773) 629-0716
NPI assigned
Jul 15, 2020
Organization subpart
Yes
Parent organization
BLUESKY TELEPSYCHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Richelle Strauss, MDNPI 1700042454
Title
President
Phone
(773) 629-0716

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

301 McCullough Dr
Charlotte, NC 28262-3310

Mailing address

Richelle Strauss
1431 Opus Place, Suite 110
Downers Grove, IL 60515
Phone (888) 279-0002

Other identifiers 1

IdentifierTypeStateIssuer
1659996767OtherILNPI

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.blueskytelepsych.com Direct
CONNECT URL www.blueskytelepsych.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Bluesky Telepsych SC3 organizations share this tax ID, including this one
Part of
Bluesky Telepsych SC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22469/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1407464589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RICHELLE STRAUSS",
            "address_2": "1431 OPUS PLACE, SUITE 110",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "888-279-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MCCULLOUGH DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623310",
            "telephone_number": "773-629-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESKY TELEPSYCH, SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUESKY TELEPSYCH",
        "enumeration_date": "2020-07-15",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "STRAUSS",
        "authorized_official_first_name": "RICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-629-0716",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659996767",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.blueskytelepsych.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "888-279-0002",
            "address_1": "301 McCullough Dr",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282623310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.blueskytelepsych.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "888-279-0002",
            "address_1": "301 McCullough Dr",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282623310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.