Blueiris LLC
Clinic/Center (Adult Mental Health)

Address: 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010
Phone: 7032160544

Blueiris LLC (NPI# 1134728397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1134728397
Entity Type Organization
Organization Name BLUEIRIS LLC
Practice Address 3318 Georgia Ave Nw
Unit 13
Washington
DC 20010
Practice Telephone 7032160544
Mailing Address 3401 12th St Ne Unit 29234
Washington
DC 20017-1127
Mailing Telephone 7032160544
Authorized Official Name Mr. John Jankowski (OWNER)
Authorized Official Telephone 7032160544
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-10-20
Last Update Date 2020-10-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QM0850X Clinic/Center · Adult Mental Health Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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Office Location

Street Address 3318 GEORGIA AVE NW
UNIT 13
City WASHINGTON
State DC
Zip Code 20010

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700425618 Eve Kronzek Audiologist Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 2019-12-26
1366085169 Jakeline Xochitl Merino Nurse Practitioner 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 2019-10-24
1710548110 Ebrahim Hasan Khan Student in an Organized Health Care Education/Training Program 110 Irving St Nw Dept of Int Med, Washington, DC 20010 2019-06-26
1932660362 Matthew Joseph Moon Physician Assistant Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 2019-03-28
1316407463 Rabia Idrees Student in an Organized Health Care Education/Training Program 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 2019-03-24
1588124168 Nishita Patel Student in an Organized Health Care Education/Training Program 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 2019-03-21
1861958035 Melissa Ann Williams Home Health Aide 3506 Georgia Ave Nw #102, Washington, DC 20010 2019-02-13
1073080602 Jingzhe Gao Registered Nurse Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 2018-11-01
1487140737 Anees Musallam Sr. Student in an Organized Health Care Education/Training Program 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 2018-07-09
1396241881 Zayn Holt Student in an Organized Health Care Education/Training Program Medstar Washington Hospital Center, 110 Irving St., Nw, Suite G247, Washington, DC 20010 2018-04-03
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Competitor

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City WASHINGTON
Zip Code 20010

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Dataset Information

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.