Organization Active NPI

Amy Bloom Consulting, LLC

  • Community/Behavioral Health Agency
  • Delray Beach, FL
National Provider Identifier
1184359754
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AMY BLOOM CONSULTING, LLC
Practice address
6865 Huntington LN Apt 207
Delray Beach, FL 33446-3011
Phone
(561) 445-7631
NPI assigned
Jul 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Amy BloomNPI 1992146435
Title
Owner
Phone
(561) 445-7631

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6865 Huntington LN Apt 207
Delray Beach, FL 33446-3011

Mailing address

6865 Huntington LN Apt 207
Delray Beach, FL 33446-3011
Phone (561) 445-7631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230626003278 FL Part B Supplier - Clinic/Group Practice 1456719293 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL

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": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1184359754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6865 HUNTINGTON LN APT 207",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463011",
            "telephone_number": "561-445-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6865 HUNTINGTON LN APT 207",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463011",
            "telephone_number": "561-445-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY BLOOM CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-445-7631"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.