Bloom Wellness and Psychiatry PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BLOOM WELLNESS AND PSYCHIATRY PLLC

Doing business as

Amanda Sisul

Practice address

821 W 11TH St
Austin, TX 78701-2009

Phone

(512) 952-2644

Fax

(512) 668-7885

NPI assigned

Oct 12, 2023

Last updated

Nov 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Sisul, PMHNPNPI 1386137461

Title

Owner

Phone

(512) 952-2644

Specialties & licenses 1

Addresses

Other names 1

• Amanda Sisul Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Brittany Sisul, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
  • NPI 1386137461
  Medicare reassignment NPD Authorized official
• Eric Anthony Aguilar, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bee Cave, TX
  • NPI 1518668847
  NPD (past)

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1164203402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13359 N HIGHWAY 183 STE 406-533",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787507153",
            "telephone_number": "512-952-2644",
            "fax_number": "512-668-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 W 11TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012009",
            "telephone_number": "512-952-2644",
            "fax_number": "512-668-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM WELLNESS AND PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "SISUL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-952-2644",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amanda Sisul",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bloom & Thrive LLC
• Bloom Biz Wellness LLC
• Bloom Chiropractic, PLLC
• Bloom Speech Therapy Inc.
• Bloom Therapy, PLLC (Bloom Therapy)
• Daniel G Bloom, M.D.
• Virginia Adams Bloom, MED, LPC
• Ginger Ann Bloomer, MD
• Morgan Elizabeth Bloomfield, LMFT
• Maria Suzanne Bosley Bloomquist, MD

• Psychiatry Physician in Austin, TX
• Providers in Austin, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.

Verify at the official NPI Registry.