BLOSSOMING WELLBEING TELEPSYCHIATRY – NPI #1992319560
Psychiatry & Neurology

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Health Care Provider Taxonomy Code for Psychiatry & Neurology

BLOSSOMING WELLBEING TELEPSYCHIATRY is a psychiatry & neurologist located in SAINT PETERSBURG, FL. NPPES has assigned the NPI number 1992319560 to BLOSSOMING WELLBEING TELEPSYCHIATRY on September 01, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084A0401X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Medicine

The NPI profile was previously updated about 6 years ago on Nov 17, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLOSSOMING WELLBEING TELEPSYCHIATRY below.

NPI Profile for
BLOSSOMING WELLBEING TELEPSYCHIATRY

NPI Number
1992319560
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLOSSOMING WELLBEING TELEPSYCHIATRY
Primary location
9800 4TH ST N STE 200
SAINT PETERSBURG, FL 33702-2462
Phone: (833) 399-0957 Fax: (727) 335-1174
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LA TASHA AL-JARBOUA
OWNER/CEO
Phone: (304) 237-8733
Updated
Certification Date
Nov 17, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084A0401X
- Psychiatry & Neurology / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.