Provider Demographics
NPI:1043727167
Name:BLUEPAZ, LLC
Entity Type:Organization
Organization Name:BLUEPAZ, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF CONSULTANT
Authorized Official - Prefix:DR
Authorized Official - First Name:DARA
Authorized Official - Middle Name:N
Authorized Official - Last Name:RAMPERSAD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC, NCC
Authorized Official - Phone:602-345-1425
Mailing Address - Street 1:7000 N 16TH ST
Mailing Address - Street 2:STE 120 #158
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7000 N 16TH ST
Practice Address - Street 2:STE 120 #158
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020
Practice Address - Country:US
Practice Address - Phone:602-345-1425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4742103TC0700X, 103TC1900X, 103TF0200X
HI1275103TC0700X, 103TC1900X, 103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty