Bluestar Behavioral Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BLUESTAR BEHAVIORAL HEALTH LLC

Practice address

1459 Barrington Ave
Eugene, OR 97401-7084

Phone

(541) 979-6895

NPI assigned

Feb 14, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Olson, MDNPI 1336300862

Title

Owner

Phone

(541) 979-6895

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jennifer Olson, MD

  • Psychiatry Physician
  • Eugene, OR
  • NPI 1336300862
  NPD Authorized official

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1821853334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 COBURG RD # 1574",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 BARRINGTON AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017084",
            "telephone_number": "541-979-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTAR BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-979-6895",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula J. Bloom, MA, LPC, NCC
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• Veronica Blumberg
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• Barye Bluth, M.S.
• Isaac Allen Boatright, LMT
• Lyndsi Bobst, LPN

• Psychiatry Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.