Organization Active NPI

Blue Skies Ahead Therapy

  • Clinical Social Worker
  • Ridgewood, NJ
National Provider Identifier
1508569138
Registry record updated Jan 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLUE SKIES AHEAD THERAPY
Practice address
65 N Maple Ave
Ridgewood, NJ 07450-3233
Phone
(201) 394-4330
NPI assigned
Mar 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2024

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

Authorized official

Name
Jaclyn O'Callaghan, LCSWNPI 1588256770
Title
Therapist
Phone
(201) 394-4330

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

65 N Maple Ave
Ridgewood, NJ 07450-3233

Mailing address

213 Addison PL
Paramus, NJ 07652-4524
Phone (201) 394-4330

Other names 1

  • Blue Skies Ahead Other name

National Provider Directory

National Provider Directory

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": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705104000000",
    "number": "1508569138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 ADDISON PL",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524524",
            "telephone_number": "201-394-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N MAPLE AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503233",
            "telephone_number": "201-394-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKIES AHEAD THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2024-01-13",
        "certification_date": "2024-01-13",
        "status": "A",
        "authorized_official_last_name": "O'CALLAGHAN",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "201-394-4330",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Skies Ahead",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Blue Skies Ahead",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2024; 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.