BLUE SKIES BEHAVIORAL HEALTH (NPI# 1144655507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144655507 |
| Entity Type | Organization |
| Organization Name | BLUE SKIES BEHAVIORAL HEALTH |
| Practice Address |
15525 Pomerado Rd Suite B-1 Poway CA 92064-2435 |
| Practice Telephone | 8582433245 |
| Mailing Telephone | 8582433245 |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-04 |
| Authorized Official Name | DR. ERIKA SWIFT HOLTERMANN (PRESIDENT) |
| Authorized Official Telephone | 8582433245 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
24132 | CA | Ambulatory Health Care Facilities |
| Street Address |
15525 POMERADO RD SUITE B-1 |
| City | POWAY |
| State | CA |
| Zip Code | 92064-2435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519955 | Debra Joan Abel | Audiologist | 15525 Pomerado Rd, E-1, Poway, CA 92064-2435 | 2005-06-24 |
| 1619412806 | Waves, A Psychological Corporation | Psychologist | 15525 Pomerado Rd, Suite C-5, Poway, CA 92064-2435 | 2016-12-27 |
| 1083003586 | San Diego Psychological Center Inc. | Psychologist | 15525 Pomerado Rd, Suite B3, Poway, CA 92064-2435 | 2015-01-21 |
| 1871994905 | Tracy Daly | Dietitian, Registered | 15525 Pomerado Rd, Suite B-1, Poway, CA 92064-2435 | 2014-09-08 |
| 1295088334 | San Diego Diagnostic Radiology Medical Group, Inc. | Clinic/Center | 15525 Pomerado Rd, Suite E2, Poway, CA 92064-2435 | 2012-10-25 |
| 1598047086 | Sarah L Jacobs-paul | Counselor | 15525 Pomerado Rd, Suite C-5, Poway, CA 92064-2435 | 2011-09-12 |
| 1568750438 | Amanda Louise Peeler | Physical Therapist | 15525 Pomerado Rd, Ste D4, Poway, CA 92064-2435 | 2011-07-13 |
| 1952694408 | Erika Swift Holtermann | Psychologist | 15525 Pomerado Rd, Suite B-1, Poway, CA 92064-2435 | 2011-05-17 |
| 1124310917 | Cpte Physical Therapy Professional Corporation | Physical Therapist | 15525 Pomerado Rd, Ste D4, Poway, CA 92064-2435 | 2011-05-11 |
| 1093006512 | Arch Health Partners | Audiologist | 15525 Pomerado Rd, Sute C-1, Poway, CA 92064-2435 | 2011-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357384 | Prabha Choudhary | Student in an Organized Health Care Education/Training Program | 17555, Corte Lomas Verdes, Poway, CA 92064 | 2020-02-06 |
| 1770143968 | Theresa Marie Morales | In Home Supportive Care | 15352 Running Deer Trl, Poway, CA 92064 | 2019-06-19 |
| 1689230997 | Jaclyn Miller | Audiologist | Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 | 2019-05-13 |
| 1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
| 1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
| 1720576671 | Jodi A Mcgrady Dmd, Ms, Adc | Dentist | 12350 Oak Knoll Rd, Poway, CA 92064 | 2018-04-26 |
| 1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
| 1669918165 | Restore Detox Centers | Substance Abuse Rehabilitation Facility | 14099 Sky Mountain Trail, Poway, CA 92064 | 2017-01-09 |
| 1205382561 | Nightingale Meyou | Pharmacist | 5615 Pomerado Rd, Poway, CA 92064 | 2016-08-28 |
| 1578017232 | Elan Lee | Dentist | 13035 Pomerado Road Suite B, Poway, CA 92064 | 2016-08-11 |
| Find all providers in zip 92064 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| 1083230262 | Socal Adolescent Wellness, Inc. | Clinic/Center | 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630-2899 | 2020-06-23 |
| 1447876123 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 454 E Cerritos St, Rialto, CA 92376-3658 | 2020-06-18 |
| 1669098505 | Rowi Valencia, Inc. | Clinic/Center | 27413 Tourney Rd Ste 150, Valencia, CA 91355-5604 | 2020-06-16 |
| 1386267870 | Bni Treatment Centers | Clinic/Center | 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 | 2020-05-19 |
| 1538781042 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 3872 Carthage St, Riverside, CA 92501-2102 | 2020-05-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.