Active NPI
Bluesky Telepsych, Inc.
- Psychiatry Physician
- Cambridge, MA
National Provider Identifier
1942819784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- BLUESKY TELEPSYCH, INC.
- Practice address
- 125 Cambridge Park Drive
Suite 306
Cambridge, MA 02140 - Phone
- (888) 279-0002
- NPI assigned
- Jul 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natalia Kulach
- Title
- Office Manager
- Phone
- (888) 279-0002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
125 Cambridge Park Drive
Suite 306
Cambridge, MA 02140
Mailing address
135 SE Martin Ave
Stuart, FL 34996-1213
National Provider Directory
National Provider Directory- Tax ID family
- Bluesky Telepsych
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- San Jose, CA
- NPI 1295343366
-
- Psychiatry Physician
- Charlotte, NC
- NPI 1407464589
Locations
125 Cambridgepark Dr
Ste 306
Cambridge, MA 02140
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatry Physician
- Topton, NC
- NPI 1700042454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595894400000",
"number": "1942819784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 SE MARTIN AVE",
"city": "STUART",
"state": "FL",
"postal_code": "349961213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 CAMBRIDGE PARK DRIVE",
"address_2": "SUITE 306",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02140",
"telephone_number": "888-279-0002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUESKY TELEPSYCH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-28",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A",
"authorized_official_last_name": "KULACH",
"authorized_official_first_name": "NATALIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "888-279-0002"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.