Blue Sky Mental Health, SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BLUE SKY MENTAL HEALTH, SC

Practice address

6666 Odana Rd # 323
Madison, WI 53719-1012

Phone

(608) 556-3813

NPI assigned

May 20, 2021

Last updated

May 20, 2021By 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

Dr. Teri White, DNPNPI 1336668276

Title

Nurse Practitioner

Phone

(608) 556-3813

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Teri L White, DNP, FNP-BC

  • Nurse Practitioner
  • Madison, WI
  • NPI 1336668276
  NPD Authorized official

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1528633849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6666 ODANA RD # 323",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191012",
            "telephone_number": "608-556-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6666 ODANA RD # 323",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191012",
            "telephone_number": "608-556-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY MENTAL HEALTH, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "608-556-3813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100072321",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Madison, WI
• Providers in Madison, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.