Active NPI
Blossom Psychiatry LLC
- Psychiatric/Mental Health Nurse Practitioner
- Roseville, CA
National Provider Identifier
1083576847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BLOSSOM PSYCHIATRY LLC
- Practice address
- 425 Cirby Way
Roseville, CA 95678-4235 - Phone
- (409) 356-9778
- NPI assigned
- Dec 1, 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
- Chinonyelum Nze, NP
- Title
- Ceo
- Phone
- (409) 356-9778
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
425 Cirby Way
Roseville, CA 95678-4235
Mailing address
425 Cirby Way
Roseville, CA 95678-4235
National Provider Directory
National Provider DirectoryPractitioners & 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
- Stockton, CA
- NPI 1104717164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764547200000",
"number": "1083576847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 CIRBY WAY",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956784235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 CIRBY WAY",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956784235",
"telephone_number": "409-356-9778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOSSOM PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-01",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A",
"authorized_official_last_name": "NZE",
"authorized_official_first_name": "CHINONYELUM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "409-356-9778",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
- Nicholas Christopher Block, RN
- Danielle Michelle Blonstein, NURSE PRACTITIONER
- Ashley Bloom, R.N.
- Lindsey Bloom, ACCNS-AG
- Leah Bloomfield-Strange, DO
- Blossoming Minds Psychological Services PC
- Blue Oaks Eyecare Inc
- Blue Sky Counseling Center Corporation
- Bonnie Beau Blue, MFT
- Phil Bluemel, M.A., LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.