Organization Active NPI

Blossom Psychiatry and Wellness PLLC

  • Community/Behavioral Health Agency
  • Lantana, FL
National Provider Identifier
1013706944
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BLOSSOM PSYCHIATRY AND WELLNESS PLLC
Practice address
615 S Arnold Ave
Lantana, FL 33462-4305
Phone
(954) 770-0834
NPI assigned
May 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Ms. Crystol Vassell, APRNNPI 1558137265
Title
Nurse Practitioner
Phone
(954) 770-0834

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

615 S Arnold Ave
Lantana, FL 33462-4305

Mailing address

615 S Arnold Ave
Lantana, FL 33462-4305
Phone (954) 770-0834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250529003909 FL Part B Supplier - Clinic/Group Practice 0143739482 Receives reassigned benefits from 1 practitioner
Practice locations: Oakland Park, FL; West Palm Beach, FL; Riviera Beach, FL; Pompano Beach, FL; Lantana, FL; Delray Beach, FL; Boynton Beach, FL

National Provider Directory

National Provider Directory

Locations

1766 NE 4TH St
Oasis at Boynton BCH
Boynton Beach, FL 33435
Phone (561) 336-3578

4201 Leo Ln
Riviera Beach, FL 33410
Phone (561) 841-0055

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": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1013706944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S ARNOLD AVE",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334624305",
            "telephone_number": "954-770-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S ARNOLD AVE",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334624305",
            "telephone_number": "954-770-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM PSYCHIATRY AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "VASSELL",
        "authorized_official_first_name": "CRYSTOL",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "954-770-0834",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lantana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.