Bluejay Therapy, PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

03349651000 Issued in NM

Legal business name

BLUEJAY THERAPY, PC

Practice address

4900 Black Dr NW
Albuquerque, NM 87120-4425

Phone

(505) 241-9958

NPI assigned

May 17, 2016

Last updated

May 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Allison Karcz, MSW, LISW

Title

Owner/Director

Phone

(505) 241-9958

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1508213869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 BLACK DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204425",
            "telephone_number": "505-241-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BLACK DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204425",
            "telephone_number": "505-241-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEJAY THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "KARCZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "505-241-9958",
        "authorized_official_credential": "MSW, LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "03349651000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Whale, Inc.
• Barbara Blue
• Cherilyn Blue, MS CCC-SLP
• Sara Carson Bluefeather, MD
• Bluejay Counseling
• Cynthia Bluhm, RN
• Amy Blumberg
• Leslie Sherry Blumenstock, LCSW
• J. Andrea Blumenthal, MSW
• Catherine Michelle Blystone, RN

• Community/Behavioral Health Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.