Blue Sky Treatment

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

1706AD953702 Issued in FL

Legal business name

BLUE SKY TREATMENT

Practice address

5360 N Federal Hwy
Lighthouse Point, FL 33064-7068

Phone

(754) 222-6884

Fax

(954) 746-8232

NPI assigned

Oct 20, 2014

Last updated

Oct 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Friis

Title

Owner

Phone

(754) 222-6884

Specialties & licenses 1

Addresses

Tax ID family

Blue Sky Treatment2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Blue Sky Treatment, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lighthouse Point, FL
  • NPI 1679915078
  NPD tax ID

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1942604004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 N FEDERAL HWY",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647068",
            "telephone_number": "754-222-6884",
            "fax_number": "954-746-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 N FEDERAL HWY",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647068",
            "telephone_number": "754-222-6884",
            "fax_number": "954-746-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "FRIIS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-222-6884"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1706AD953702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gia Baillie
• Catherine Belanchia
• Elizabeth Benton, PSY.D.
• Jada Chrishanne Bivins
• Roger Blinder, DC
• Blue Sky Treatment, LLC
• Anne-Valentine Boisvert
• Thiam Bowe, CRTP, LMT
• Justine Boyce
• David Edward Brandfass, D.D.S.

• Substance Use Disorder Rehabilitation Clinic/Center in Lighthouse Point, FL
• Providers in Lighthouse Point, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.