BLUE SKIES PSYCHOLOGICAL SERVICES, LLC (NPI# 1720560832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720560832 |
| Entity Type | Organization |
| Organization Name | BLUE SKIES PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
3495 Lakeside Dr # 1093 Reno NV 89509-4841 |
| Mailing Address |
1900 Ne 3rd St Ste 106-1019 Bend OR 97701-3894 |
| Practice Telephone | 7752978855 |
| Mailing Telephone | 7752978855 |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |
| Authorized Official Name | SEAN DODGE (OWNER) |
| Authorized Official Telephone | 7752978855 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
3495 LAKESIDE DR # 1093 |
| City | RENO |
| State | NV |
| Zip Code | 89509-4841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283303 | Olson Professional Services, Pllc | Electrodiagnostic Medicine | 66305 S Mccarran Blvd. Ste A4, Reno, NV 89509 | 2018-07-30 |
| 1851883607 | Matthew Christopher Peterson | Behavior Technician | 604 Moana Lane, Reno, NV 89509 | 2018-06-06 |
| 1063901155 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 604 West Moana Lane, Reno, NV 89509 | 2018-05-04 |
| 1295243517 | Megan Brenner | Counselor | 527 Plumas Street, Reno, NV 89509 | 2018-01-22 |
| 1881104099 | Trish Lee Mcguire | Occupational Therapist | 540 W Plumb Lane, Suite 201, Reno, NV 89509 | 2017-10-03 |
| 1982113825 | Sasha Bond | Behavior Technician | 3500 Lakeside Ct. #101, Reno, NV 89509 | 2017-09-22 |
| 1124547930 | Sally M Higgins | Student in an Organized Health Care Education/Training Program | 740 California Ave, Reno, NV 89509 | 2017-09-12 |
| 1851819031 | Victoria Vaughn | Counselor | 4390 Interlaken Ct., Reno, NV 89509 | 2017-09-07 |
| 1407373533 | Luis Andres Garcia Lopez | Behavior Technician | 3500 Lakeside Ct., #101, Reno, NV 89509 | 2017-08-29 |
| 1184150757 | Nevada Educational and Therapy Solutions, LLC | Speech-Language Pathologist | 1101 W Moana Lane #7, Reno, NV 89509 | 2017-05-02 |
| Find all providers in zip 89509 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1417510439 | C & C Health Care Services LLC | Clinic/Center | 1281 Terminal Way Ste 110, Reno, NV 89502-3246 | 2019-04-16 |
| 1619330404 | Trinity Services Inc. | Clinic/Center | 240 S Rock Blvd, Suite 133, Reno, NV 89502-2475 | 2016-03-30 |
| 1336534361 | Garrison, Wiskerchen & Coates, Ltd | Clinic/Center | 418 Cheney St., Reno, NV 89502 | 2015-04-06 |
| 1013295294 | Board of Regents Nevada System of Higher Education | Clinic/Center | 745 W. Moana Lane, Suite 100, Reno, NV 89509 | 2011-07-22 |
| 1457492332 | Maple Star Nevada LLC | Clinic/Center | 855 W 7th St Ste 160, Reno, NV 89503-2706 | 2007-02-12 |
| 1912048547 | Maple Star Nevada | Clinic/Center | 100 Washington St Ste 350, Reno, NV 89503-5648 | 2007-02-08 |
| 1053403014 | Crc Ed Treatment, Inc | Clinic/Center | 1453 Pass Drive, Reno, NV 89509 | 2006-09-28 |
| 1669574992 | Pioneer Health Resources,inc. | Clinic/Center | 85 Continental Dr, Reno, NV 89509-3432 | 2006-09-05 |
| 1588289102 | Stephen Mayville A Professional Corporation | Clinic/Center | 10631 Professional Cir Ste A, Reno, NV 89521-5835 | 2020-06-09 |
| Find all providers in RENO | ||||
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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.