Organization Active NPI

Blue Sky Community Mental Corp

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1699594978
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BLUE SKY COMMUNITY MENTAL CORP
Practice address
8501 SW 124TH Ave Ste 204B1
Miami, FL 33183-4627
Phone
(786) 442-4002
NPI assigned
Oct 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Jorge Perera
Title
Officer
Phone
(786) 442-4002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

8501 SW 124TH Ave Ste 204B1
Miami, FL 33183-4627

Mailing address

8501 SW 124TH Ave Ste 204B1
Miami, FL 33183-4627
Phone (786) 442-4002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250729004978 FL Part B Supplier - Clinic/Group Practice 2062929409 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

8501 SW 124th Ave
Ste 204B1
Miami, FL 33183
Phone (786) 442-4002

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": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1699594978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 SW 124TH AVE STE 204B1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834627",
            "telephone_number": "786-442-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 SW 124TH AVE STE 204B1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834627",
            "telephone_number": "786-442-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY COMMUNITY MENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "PERERA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "786-442-4002"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.