NPIMap

Organization Active NPI

Bluebird Teleshrink

  • Counseling Psychologist
  • North Tonawanda, NY
National Provider Identifier
1851987341
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
BLUEBIRD TELESHRINK
Practice address
4087 Tonawanda Creek Rd
North Tonawanda, NY 14120-9505
Phone
(716) 698-7097
NPI assigned
Dec 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Authorized official

Name
Dr. Kimberly SillaNPI 1386258390
Title
President
Phone
(716) 698-7097

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
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

4087 Tonawanda Creek Rd
North Tonawanda, NY 14120-9505

Mailing address

PO Box 206
Amherst, NY 14226-0206
Phone (716) 698-7097

Other names 1

  • Kimberly Silla Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@bluebirdteleshrink.com Direct

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": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1851987341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142260206",
            "telephone_number": "716-698-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4087 TONAWANDA CREEK RD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141209505",
            "telephone_number": "716-698-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBIRD TELESHRINK",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "SILLA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-698-7097",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@bluebirdteleshrink.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4087 Tonawanda Creek Rd",
            "city": "North Tonawanda",
            "state": "NY",
            "country_code": "US",
            "postal_code": "141209505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kimberly Silla",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.