Blue Sky Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BLUE SKY PSYCHIATRY LLC

Practice address

2432 W Peoria Ave Ste 13421343
Phoenix, AZ 85029-4726

Phone

(817) 658-2216

NPI assigned

Mar 1, 2023

Organization subpart

No

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

Authorized official

Name

Kenneth A Nembu, PMHNP

Title

Owner

Phone

(817) 658-2216

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1508565284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10553 W APPALOOSA TRL",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851947612",
            "telephone_number": "817-658-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 W PEORIA AVE STE 13421343",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294726",
            "telephone_number": "817-658-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "NEMBU",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-658-2216",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Nile Trans LLC
• Blue Serenity Acupuncture LLC
• Blue Skies Psychiatry, PLLC
• Blue Sky Dentistry
• Blue Sky Hospice Care Inc
• Blue Sprig
• Blue Sprig Pediatrics, Inc
• Blue Spruce Nemt Services LLC
• Blue Star Surgical Partners, LLC
• Blue Thumb Services LLC

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.