NPIMap

Organization Active NPI

Blueprints Therapeutic Services LLC

  • Community/Behavioral Health Agency
  • Prescott, AZ
National Provider Identifier
1861023905
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BLUEPRINTS THERAPEUTIC SERVICES LLC
Practice address
1113 E Gurley St
Prescott, AZ 86301-3309
Phone
(928) 583-4878
NPI assigned
Jan 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Authorized official

Name
Mr. Kevin Ross
Title
Ceo
Phone
(917) 903-7445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1113 E Gurley St
Prescott, AZ 86301-3309

Mailing address

PO Box 10878
Prescott, AZ 86304-0878

Other names 1

  • Blueprints Therapeutic Serivces Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Blueprints Therapeutic Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1861023905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10878",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863040878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 E GURLEY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013309",
            "telephone_number": "928-583-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEPRINTS THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-903-7445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blueprints Therapeutic Serivces",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Blueprints Therapeutic Serivces",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.