Blue Skies Psychological Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BLUE SKIES PSYCHOLOGICAL SERVICES, LLC

Practice address

3495 Lakeside Dr # 1093
Reno, NV 89509-4841

Phone

(775) 297-8855

NPI assigned

Sep 5, 2018

Organization subpart

No

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

Authorized official

Name

Sean Dodge, PSYDNPI 1922256809

Title

Owner

Phone

(775) 297-8855

Specialties & licenses 4

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean Dodge, PSY.D.

  • Clinical Psychologist
  • Redmond, OR
  • NPI 1922256809
  NPD Authorized official
• Emily Burish, PH.D.

  • Counseling Psychologist
  • Bend, OR
  • NPI 1770202715
  NPD (past)

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1720560832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 NE 3RD ST STE 106-1019",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013894",
            "telephone_number": "775-297-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 LAKESIDE DR # 1093",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094841",
            "telephone_number": "775-297-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKIES PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-297-8855",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Rochelle Bloomberg
• Stephen H. Bloomfield, M.D.
• Emily A Bloomquist, MFT
• Jenny Blount
• Jessica Lynne Blount
• Kara Elizabeth Blum, PA-C
• Kristina Blum, D.C.
• Karen Blumenthal, LADAC
• Genevieve Blythe-Barlow, RN
• Board of Regents Nevada System of Higher Educa

• Mental Health Clinic/Center (Including Community Mental Health Center) in Reno, NV
• Providers in Reno, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

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