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BLUE BEHAVIORAL THERAPY
NPI 1598363673
Community/Behavioral Health in Bloomington, MN

Active since October 12, 2020
10800 LYNDALE AVE S STE 250, BLOOMINGTON, MN 55420(614) 805-1982 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 14, 2022, Feb 18, 2021, Oct 12, 2020 (3 updates tracked since 2020).

About Blue Behavioral Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE BEHAVIORAL THERAPY (NPI 1598363673) is a healthcare organization registered as a community/behavioral health in Bloomington, Minnesota and active in the NPI registry since October 2020. The organization maintains a secondary practice location in Minneapolis and lists Fayrus Abdirahman Duale, President, as its authorized official.

NPPES Registry Identity

NPI1598363673
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBLUE BEHAVIORAL THERAPY
Location Address10800 LYNDALE AVE S STE 250Bloomington, MN 55420-5690
Mailing Address10800 Lyndale Ave S Ste 250Bloomington, MN 55420-5690 · (614) 805-1982
Phone(614) 805-1982
Organization SubpartNo
Authorized OfficialFayrus Abdirahman DualePresident · (614) 805-1982
Enumeration DateOctober 12, 2020
Last NPPES UpdateSeptember 14, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2022
✔ NPI 1598363673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
10800 LYNDALE AVE S STE 250, Bloomington, MN 55420
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Secondary Practice Location 1

Location 14020 Minnehaha Ave Ste 2070Minneapolis, MN 55406-4600 · Phone (614) 805-1982

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Behavioral Therapy's NPI number?

The NPI number for Blue Behavioral Therapy is 1598363673. It was assigned to this organization in the NPPES registry on October 12, 2020.

Where is Blue Behavioral Therapy located?

Blue Behavioral Therapy is located at 10800 Lyndale Ave S Ste 250, Bloomington, MN 55420. The listed phone number is (614) 805-1982.

What is Blue Behavioral Therapy's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Blue Behavioral Therapy was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.