Blooming Minds Therapy LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

BLOOMING MINDS THERAPY LLC

Practice address

6556 W Melinda LN
Glendale, AZ 85308-6419

Phone

(773) 744-9715

NPI assigned

Jun 15, 2023

Organization subpart

No

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

Authorized official

Name

Jetnor Sinani

Title

Owner

Phone

(773) 744-9715

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1053096289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6556 W MELINDA LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6556 W MELINDA LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086419",
            "telephone_number": "773-744-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING MINDS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "SINANI",
        "authorized_official_first_name": "JETNOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-744-9715"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karri Lynn Bloom, PHARM. D
• Bloomcare PLLC
• Blooming Care Solutions LLC
• Blooming Care Solutions LLC
• Blooming Health Services
• Jessica Blosser
• Blue Bird Counseling
• Debra Michelle Blum
• Jason Boanca, PHARMD
• Mary A Bocchicchio, BS, LMT

• Occupational Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.