Bloom Psychiatric Care, LLC

Organization Active NPI Psychiatry Physician · Huntingdon, TN

NPI 1285594887 · NPPES record last updated Feb 7, 2026

Key facts

NPI
1285594887
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatry Physician 2084P0800X
Legal business name
BLOOM PSYCHIATRIC CARE, LLC
Practice address
126 W Paris St Ste B
Huntingdon, TN 38344-3608
Phone
(731) 614-2747
NPI assigned
Nov 15, 2025
Organization subpart
No

Authorized official

Name
Tiana Leigh Akins, PMHNP-BC
Title
Pmhnp and Owner
Phone
(731) 614-2747

Practitioners 1

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2338713Bloom Psychiatric Care, LLC
126 W Paris St, Ste B, Huntingdon, TN 38344
Certificate of waiverFeb 16, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20260218004345 TN Part B Supplier - Clinic/Group Practice 6800376708 Receives reassigned benefits from 1 practitioner
Practice locations: Huntingdon, TN

National Provider Directory

Locations

126 W Paris St
Ste B
Huntingdon, TN 38344
Phone (731) 535-3603

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2084P0800X Yes

Addresses

Primary practice location

126 W Paris St Ste B
Huntingdon, TN 38344-3608

Mailing address

126 W Paris St Ste B
Huntingdon, TN 38344-3608
Phone (731) 535-3280

Other identifiers

IdentifierTypeStateIssuer
Q109049MedicaidTN

Other providers in Huntingdon, TN

All providers in Huntingdon, TN · Psychiatry Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.