Pathways in Bloom Psychological Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PATHWAYS IN BLOOM PSYCHOLOGICAL SERVICES, LLC

Practice address

625 Commerce Drive
Suite 104
Lakeland, FL 33813

Phone

(702) 326-6959

NPI assigned

Nov 22, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Daniella Marie Vasquez, PSY.D.

Title

Owner/Licensed Clinical Psychologis

Phone

(813) 436-3588

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.

• Daniella Marie Carter, PSY.D.

  • Psychologist
  • Sarasota, FL
  • NPI 1346519287
  NPD

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1306503644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13194 US HIGHWAY 301 S # 272",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335787410",
            "telephone_number": "702-326-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 COMMERCE DRIVE",
            "address_2": "SUITE 104",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33813",
            "telephone_number": "702-326-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS IN BLOOM PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "DANIELLA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/LICENSED CLINICAL PSYCHOLOGIS",
        "authorized_official_telephone_number": "813-436-3588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urjitkumar R Patel
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• Yogi N Patel, RPH
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• Harpreet K Patheja, M.D.
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• Alyssa Maria Patterson
• Charlotte Kemp Patterson, LMHC
• Craig Patterson

• Community/Behavioral Health Agency in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.