Neuro Bloom Therapy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEURO BLOOM THERAPY

Practice address

4100 Excelsior Blvd Ste 50
St Louis Park, MN 55416-4727

Phone

(612) 416-7520

NPI assigned

May 16, 2025

Organization subpart

No

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

Authorized official

Name

Efrah Mohamed

Title

Director

Phone

(404) 932-9111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1104617133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 EXCELSIOR BLVD STE 50",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164727",
            "telephone_number": "612-416-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 EXCELSIOR BLVD STE 50",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164727",
            "telephone_number": "612-416-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO BLOOM THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-16",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "EFRAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-932-9111"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erinn Ann Neuburger, RD, LD
• Neuehealth Accountable Care
• Emily Rose Neuenschwander, MS, LPCC
• Katelyn Neufeld
• Yuan Neumair, PA-C
• Dory L Neurock, NP
• Neurology Specialists, LLC
• Neve Inc
• Stacey A. Neville, P.T.
• New Dynamic Home Care LLC

• Community/Behavioral Health Agency in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.