Organization Active NPI

Bluestone Psychiatry, PLLC

  • Psychiatry Physician
  • Sarasota, FL
National Provider Identifier
1700563053
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BLUESTONE PSYCHIATRY, PLLC
Doing business as
Bluestone Psychiatry, PLLC
Practice address
5664 Bee Ridge Rd Ste 203
Sarasota, FL 34233-1504
Phone
(877) 422-9355
NPI assigned
Jun 29, 2023
Last updated
Jul 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Jordana Hollen, MDNPI 1649472242
Title
Co-Owner
Phone
(877) 422-9355

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
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

5664 Bee Ridge Rd Ste 203
Sarasota, FL 34233-1504

Mailing address

5664 Bee Ridge Rd Ste 203
Sarasota, FL 34233-1504
Phone (877) 422-9355

Other names 1

  • Bluestone Psychiatry, PLLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bluestone Psychiatry PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, 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": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1700563053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5664 BEE RIDGE RD STE 203",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331504",
            "telephone_number": "877-422-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5664 BEE RIDGE RD STE 203",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331504",
            "telephone_number": "877-422-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTONE PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "HOLLEN",
        "authorized_official_first_name": "JORDANA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "877-422-9355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluestone Psychiatry, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.