Organization Active NPI

Bloom Adolescent Health LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Natick, MA
National Provider Identifier
1235035403
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
BLOOM ADOLESCENT HEALTH LLC
Practice address
235 W Central St
Natick, MA 01760-3770
Phone
(508) 596-8156
NPI assigned
Oct 15, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Daniel Lagarce
Title
Owner
Phone
(508) 596-8156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

235 W Central St
Natick, MA 01760-3770

Mailing address

235 W Central St
Natick, MA 01760-3770
Phone (508) 596-8156

NPI Registry JSON

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1235035403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W CENTRAL ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603770",
            "telephone_number": "508-596-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W CENTRAL ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603770",
            "telephone_number": "508-596-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM ADOLESCENT HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "LAGARCE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-596-8156"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.