Bluestar CMB Incorporated

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BLUESTAR CMB INCORPORATED

Practice address

2316 NW 23Rd St
Oklahoma City, OK 73107-2406

Phone

(405) 408-3034

Fax

(405) 525-3360

NPI assigned

Sep 26, 2018

Organization subpart

No

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

Authorized official

Name

Carrie Lynn Buckley

Title

Director

Phone

(405) 408-3034

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1710462676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 NW 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072406",
            "telephone_number": "405-408-3034",
            "fax_number": "405-525-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 NW 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072406",
            "telephone_number": "405-408-3034",
            "fax_number": "405-525-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTAR CMB INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-408-3034"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Bayou Inc
• Blue Star Medical Group PLLC
• Barney E Blue, DO
• Jennifer Fons Blue, MS, LPC
• Bluebird Counseling LLC
• Randy Ray Bluethman, P.A.
• Jessica Ann Bluford
• April Jasmine Bluitt
• Jonathan Bluitt
• Frank Blume

• Psychiatry Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.