Blue Gibbous, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BLUE GIBBOUS, INC

Practice address

212 W Highland Mall Blvd Unit 493
Austin, TX 78752-3881

Phone

(903) 272-7744

NPI assigned

Dec 11, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Deandre Bluitt, MDNPI 1861875460

Title

Psychiatrist

Phone

(903) 272-7744

Specialties & licenses 1

Addresses

Practitioners 1

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

• Deandre Bluitt, M.D.

  • Psychiatry Physician
  • Omaha, NE
  • NPI 1861875460
  NPD Authorized official

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1902613169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W HIGHLAND MALL BLVD UNIT 493",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523881",
            "telephone_number": "903-272-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W HIGHLAND MALL BLVD UNIT 493",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523881",
            "telephone_number": "903-272-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE GIBBOUS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "BLUITT",
        "authorized_official_first_name": "DEANDRE",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "903-272-7744",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Meredith Blount, PT
• Whitney Bludworth, MD
• Blue ABA Texas LLC
• Blue Agave Wound Care Solutions LLC
• Blue Bend Counseling PLLC
• Blue Harmony Integrative Psychiatry and Wellness PLLC
• Blue Haven Ventures, LLC (Blue Haven Pharmacy)
• Blue Heron Center Incorporated
• Blue Hill Therapy PLLC
• Blue Lily Home Care LLC

• Psychiatry Physician in Austin, TX
• Providers in Austin, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.