Organization Active NPI

Blue Sky Hearing & Audiology, Inc.

Doing business as Blue Sky Hearing

  • Audiologist-Hearing Aid Fitter
  • Berkeley, CA
National Provider Identifier
1467817718
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU-2766 Issued in CA
Legal business name
BLUE SKY HEARING & AUDIOLOGY, INC.
Doing business as
Blue Sky Hearing
Practice address
3017 Telegraph Ave
Ste. 230
Berkeley, CA 94705
Phone
(415) 314-7272
NPI assigned
Dec 30, 2015
Last updated
Dec 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Dr. Susanna Storm, AU.D.NPI 1124350426
Title
Audiologist/Owner
Phone
(415) 314-7272

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
Audiologist-Hearing Aid Fitter 237600000X AU-2766 CA Primary

Addresses

Primary practice location

3017 Telegraph Ave
Ste. 230
Berkeley, CA 94705

Mailing address

3017 Telegraph Ave
Ste. 230
Berkeley, CA 94705
Phone (415) 314-7272

Other names 1

  • Blue Sky Hearing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160601000859 CA Part B Supplier - Clinic/Group Practice 0345530507 Receives reassigned benefits from 1 practitioner
Practice locations: Berkeley, CA

National Provider Directory

National Provider Directory

Locations

3017 Telegraph Ave
Ste 230
Berkeley, CA 94705
Phone (415) 314-7272

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1467817718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 TELEGRAPH AVE",
            "address_2": "STE. 230",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94705",
            "telephone_number": "415-314-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 TELEGRAPH AVE",
            "address_2": "STE. 230",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94705",
            "telephone_number": "415-314-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY HEARING & AUDIOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "STORM",
        "authorized_official_first_name": "SUSANNA",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "415-314-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU-2766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Sky Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.