BLOOM PSYCH SERVICES LLC – NPI #1760055826
Psychiatry & Neurology

Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.

BLOOM PSYCH SERVICES LLC is a psychiatry & neurologist located in STRATFORD, CT. NPPES has assigned the NPI number 1760055826 to BLOOM PSYCH SERVICES LLC on July 19, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084B0040X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry

The NPI profile was previously updated about 5 years ago on Aug 17, 2021. 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 BLOOM PSYCH SERVICES LLC below.

NPI Profile for
BLOOM PSYCH SERVICES LLC

NPI Number
1760055826
Enumeration Date

(about 5 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
BLOOM PSYCH SERVICES LLC
Primary location
3000 MAIN ST
STRATFORD, CT 06614-4939
Phone: (203) 683-0625 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANANTHAKUMAR THILLAINATHAN
OWNER
Phone: (203) 683-0625
Updated
Certification Date
Aug 17, 2021

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.

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.