Bloom Behavioral Health

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

BLOOM BEHAVIORAL HEALTH

Practice address

145 Little Conestoga Rd
Chester Springs, PA 19425-9562

Phone

(215) 359-5091

NPI assigned

Mar 10, 2021

Organization subpart

No

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

Authorized official

Name

Laura Orsatti Weissflog, MSN, CRNP

Title

Ceo

Phone

(610) 564-0630

Specialties & licenses 7

Addresses

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

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    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1194300293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 LITTLE CONESTOGA RD",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194259562",
            "telephone_number": "215-359-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 LITTLE CONESTOGA RD",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194259562",
            "telephone_number": "215-359-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "WEISSFLOG",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ORSATTI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-564-0630",
        "authorized_official_credential": "MSN, CRNP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Psychoanalysis",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer M Blom, MSN, CRNP, PMHNP-BC
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• Michele Lee Branca, MSPT
• Brandywine Home Care LLC

• Counseling Psychologist in Chester Springs, PA
• Providers in Chester Springs, PA by specialty
• Counseling Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.