Provider Demographics
NPI:1295625556
Name:BLUE STAR MENTAL HEALTH SERVICES
Entity type:Organization
Organization Name:BLUE STAR MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:BOOZAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-955-6507
Mailing Address - Street 1:1 BETHANY RD STE 7
Mailing Address - Street 2:
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-1659
Mailing Address - Country:US
Mailing Address - Phone:732-705-6266
Mailing Address - Fax:732-705-6055
Practice Address - Street 1:1 BETHANY RD STE 7
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1659
Practice Address - Country:US
Practice Address - Phone:732-705-6266
Practice Address - Fax:732-705-6055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)