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NPI Code Detail

MEDICARE: BLUE SKY PSYCHOLOGICAL SERVICES

MEDICARE: BLUE SKY PSYCHOLOGICAL SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2103T00000XPsychologist

General Provider Information

NPI Number : 1609746031
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLUE SKY PSYCHOLOGICAL SERVICES
Provider Business Mailing Address
First Line : 3555 STANFORD RD STE 140
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-4680
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3555 STANFORD RD STE 140
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-4680
Country : US
Telephone Number : 970-430-6442
Fax Number :
Authorized Official
Title or Position : PART OWNER
Name : MISS JAMIE MCTIGHE
Credential : LPC
Telephone Number : 970-430-6442
Provider Enumeration Date : 11/10/2025
Last Update Date : 01/14/2026

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Directions to “BLUE SKY PSYCHOLOGICAL SERVICES ” Practice Location

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