Organization Active NPI

Together We Bloom, a NJ Nonprofit Corporation

  • Speech-Language Pathologist
  • Maplewood, NJ
National Provider Identifier
1073389920
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
TOGETHER WE BLOOM, A NJ NONPROFIT CORPORATION
Practice address
182 Franklin Ave
Maplewood, NJ 07040-3505
Phone
(860) 614-2835
NPI assigned
Dec 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Kimberly Takacs, MS, CCC-SLPNPI 1568897577
Title
Executive Director
Phone
(860) 614-2835

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
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

182 Franklin Ave
Maplewood, NJ 07040-3505

Mailing address

182 Franklin Ave
Maplewood, NJ 07040-3505
Phone (860) 614-2835

Other names 1

  • Together We Bloom Other name

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": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1073389920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 FRANKLIN AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403505",
            "telephone_number": "860-614-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 FRANKLIN AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403505",
            "telephone_number": "860-614-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOGETHER WE BLOOM, A NJ NONPROFIT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "TAKACS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-614-2835",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Together We Bloom",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.