OrganizationActive
Cerulean Blue Therapy, LLC
NPI 1104516459 · Community/Behavioral Health Agency · Portland, OR
Cerulean Blue Therapy, LLC is a Community/Behavioral Health Agency organization in Portland, OR (NPI 1104516459).
Provider details
- NPI number
- 1104516459
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Katharine Fazal, Owner(503) 702-0554
Specialties & taxonomies
Agencies
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
900 Nw Lovejoy St Apt 515
Portland, OR 97209-3474
Phone: (503) 702-0554
Street-level locationGet directions
Mailing address
900 Nw Lovejoy St Apt 515
Portland, OR 97209-3474
Registry dates
- Enumerated
- 2023-05-10
- Last updated
- 2023-05-10
- Certified
- 2023-05-10
Frequently asked questions
- What is Cerulean Blue Therapy, LLC's NPI number?
- Cerulean Blue Therapy, LLC's National Provider Identifier (NPI) is 1104516459, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cerulean Blue Therapy, LLC?
- Cerulean Blue Therapy, LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Cerulean Blue Therapy, LLC located?
- Cerulean Blue Therapy, LLC's practice location on file with NPPES is 900 Nw Lovejoy St Apt 515, Portland, OR 97209-3474.
- What is Cerulean Blue Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Cerulean Blue Therapy, LLC is (503) 702-0554.
- Who is the authorized official for Cerulean Blue Therapy, LLC?
- The authorized official listed on Cerulean Blue Therapy, LLC's NPPES record is Katharine Fazal, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cerulean Blue Therapy, LLC's NPI active?
- Yes — Cerulean Blue Therapy, LLC's NPI (1104516459) is active in the NPPES registry as of the last update on 2023-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.