Active NPI
Blossom Psychiatry and Wellness PLLC
- Community/Behavioral Health Agency
- Lantana, FL
National Provider Identifier
1013706944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Crystol Vassell, APRN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Deerfield Beach, FL
- NPI 1558137265
FL
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.