Blue Sky Behavioral Services Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 21373 Issued in CA

Legal business name

BLUE SKY BEHAVIORAL SERVICES INC.

Practice address

1320 Yuba St Ste 214
Redding, CA 96001-1005

Phone

(530) 949-8444

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Matthew D Krause, PH.D.NPI 1518166826

Title

Ceo

Phone

(530) 949-8444

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Matthew D Krause, PH.D.

  • Clinical Psychologist
  • Redding, CA
  • NPI 1518166826
  NPD (past) Authorized official

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1932386869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 SHELL DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033771",
            "telephone_number": "530-949-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 YUBA ST STE 214",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011005",
            "telephone_number": "530-949-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY BEHAVIORAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-949-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 21373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerry Dale Blasingame, MA, LMFT
• Angela Jean Blessing
• Heather Bletcher, CFM
• Joshua Mark Bloom, M.S., CF-SLP
• Lindsay Louise Bloom, DNP, FNP, APRN, PHN
• Justin C Blumreich, APRN
• Lauren Blunt, AMFT
• Savannah Boatwright
• Vidya S Bobba, M.D.
• Janet Lynn Boehle, RN

• Clinical Psychologist in Redding, CA
• Providers in Redding, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.