Blossom Professional Psychology Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

BLOSSOM PROFESSIONAL PSYCHOLOGY CORPORATION

Practice address

3652 Jellyfish LN
Oxnard, CA 93035-3049

Phone

(805) 666-9032

NPI assigned

Feb 2, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Virna T Merino, PH.D.

Title

Ceo

Phone

(805) 666-9032

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Virna Tehre Merino Landron, M.S.

  • Clinical Psychologist
  • Oxnard, CA
  • NPI 1396937843
  NPD

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1235720244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3652 JELLYFISH LN",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930353049",
            "telephone_number": "805-666-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3652 JELLYFISH LN",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930353049",
            "telephone_number": "805-666-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM PROFESSIONAL PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "MERINO",
        "authorized_official_first_name": "VIRNA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-666-9032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene Bislig
• Morgan Black
• G Wayman Blakely, M. D.
• David Scott Blank
• Anthony G Bledin, M.D.
• David Blumberg
• Jennifer G Blumenberg, BSN, PHN
• Thomas Reau Bodette, D.C.
• Virgil L Bolo Jr.
• Travis B Bond, MD

• Psychologist in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.