Blue Mood Solutions, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLUE MOOD SOLUTIONS, LLC

Practice address

180 Tices LN
BLDG a, Ste 201C
East Brunswick, NJ 08816-1345

Phone

(718) 496-1149

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

Diane Ivanov, MSW, LCSW

Title

Owner

Phone

(718) 496-1149

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1912458167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 1ST AVE",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023306",
            "telephone_number": "718-496-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 TICES LN",
            "address_2": "BLDG A, STE 201C",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161345",
            "telephone_number": "718-496-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MOOD SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "IVANOV",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-496-1149",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine E Black
• Marc Blatteis, M.S.P.T.
• Melanie Blatteis, R.D., C.D.N.
• Lindsay Blewitt
• Larry Bloomstein
• Akwasi Afriyie Boateng, M.D.
• Lorenzo P Bocalan Jr., PHYSICAL THERAPIST
• Joseph Allen Bocian, D.M.D.
• Leonard J Bodner, MD
• Larissa Bogomolny, DMD

• Community/Behavioral Health Agency in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.