NPIMap

Organization Active NPI

Blue Skies Play Therapy

  • Developmental Therapist
  • Jacksonville, FL
National Provider Identifier
1841925930
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
BLUE SKIES PLAY THERAPY
Practice address
1671 Londonderry CT
Jacksonville, FL 32210-1222
Phone
(904) 325-4193
NPI assigned
Jul 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Belinda LeverockNPI 1558647453
Title
Owner
Phone
(904) 325-4193

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
Developmental TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 222Q00000X Primary

Addresses

Primary practice location

1671 Londonderry CT
Jacksonville, FL 32210-1222

Mailing address

1671 Londonderry CT
Jacksonville, FL 32210-1222

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1841925930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 LONDONDERRY CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 LONDONDERRY CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101222",
            "telephone_number": "904-325-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKIES PLAY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEVEROCK",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-325-4193"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.