Organization Active NPI

New Bloom Therapy, LLC

  • Behavior Analyst
  • Murfreesboro, TN
National Provider Identifier
1003621038
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
NEW BLOOM THERAPY, LLC
Practice address
1412 Suzanne Dr
Murfreesboro, TN 37128-5615
Phone
(615) 295-8494
Fax
(615) 895-2422
NPI assigned
Feb 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Taylor Prince, BCBA, LBA, MPHNPI 1225735731
Title
Owner and Ceo
Phone
(615) 295-8494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1412 Suzanne Dr
Murfreesboro, TN 37128-5615

Mailing address

1412 Suzanne Dr
Murfreesboro, TN 37128-5615
Phone (615) 975-0083

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1003621038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 SUZANNE DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285615",
            "telephone_number": "615-975-0083",
            "fax_number": "615-895-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 SUZANNE DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285615",
            "telephone_number": "615-295-8494",
            "fax_number": "615-895-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BLOOM THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "615-295-8494",
        "authorized_official_credential": "BCBA, LBA, MPH"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.