NPIMap

Organization Active NPI

Bluesky Telepsych

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1659996767
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BLUESKY TELEPSYCH
Practice address
4753 N Broadway St Ste 910
Chicago, IL 60640-4991
Phone
(773) 629-0716
NPI assigned
Jun 15, 2020
Last updated
Oct 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
Richelle Strauss, MD
Title
President
Phone
(773) 629-0716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

4753 N Broadway St Ste 910
Chicago, IL 60640-4991

Mailing address

135 SE Martin Ave
Stuart, FL 34996-1213
Phone (773) 629-0716

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drstrauss@blueskytelepsych.com Direct

National Provider Directory

National Provider Directory

Locations

4753 N Broadway St
Ste 910
Chicago, IL 60640
Phone (773) 609-3520

Practitioners & affiliated clinicians

Practitioners 4

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": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1659996767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SE MARTIN AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349961213",
            "telephone_number": "773-629-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4753 N BROADWAY ST STE 910",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404991",
            "telephone_number": "773-629-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESKY TELEPSYCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "STRAUSS",
        "authorized_official_first_name": "RICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-629-0716",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drstrauss@blueskytelepsych.com",
            "affiliation": "N",
            "endpointDescription": "drstrauss@blueskytelespsych.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4753 N Broadway St Ste 910",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606404991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.