NPIMap

Organization Active NPI

Blueskies Wellness, Inc.

  • Community/Behavioral Health Agency
  • Methuen, MA
National Provider Identifier
1861778003
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2023719 Issued in MA
Legal business name
BLUESKIES WELLNESS, INC.
Doing business as
Blueskies Wellness, Inc.
Practice address
232 Pleasant St
2ND Floor
Methuen, MA 01844-7121
Phone
(978) 655-1823
Fax
(978) 655-1759
NPI assigned
Nov 2, 2011
Last updated
Oct 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Authorized official

Name
Mrs. Belen E Godwin, MSW, LCSW, PHDCNPI 1366568222
Title
President
Phone
(603) 275-6272

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
Community/Behavioral Health Agency 251S00000X 2023719 MA Primary

Addresses

Primary practice location

232 Pleasant St
2ND Floor
Methuen, MA 01844-7121

Mailing address

232 Pleasant St
2ND Floor
Methuen, MA 01844-7121
Phone (978) 655-1823

Other names 1

  • Blueskies Wellness, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151125000700 MA Part B Supplier - Clinic/Group Practice 0345540225 Receives reassigned benefits from 3 practitioners
Practice locations: Methuen, MA

National Provider Directory

National Provider Directory

Locations

232 Pleasant St
Ste 2
Methuen, MA 01844
Phone (978) 655-1823

232 Pleasant St
Ste 4
Methuen, MA 01844
Phone (978) 655-1823

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1861778003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 PLEASANT ST",
            "address_2": "2ND FLOOR",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018447121",
            "telephone_number": "978-655-1823",
            "fax_number": "978-655-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 PLEASANT ST",
            "address_2": "2ND FLOOR",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018447121",
            "telephone_number": "978-655-1823",
            "fax_number": "978-655-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESKIES WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "BELEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-275-6272",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW, PHDC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "2023719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blueskies Wellness, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.