Mountain Bloom Psychiatry PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MOUNTAIN BLOOM PSYCHIATRY PLLC

Practice address

1201 E Schuster Ave Ste 3B
El Paso, TX 79902-4646

Phone

(915) 224-2171

Fax

(915) 289-9038

NPI assigned

Jan 30, 2025

Last updated

Jan 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ijeoma Ibeanu, MDNPI 1861925901

Title

Psychiatrist/Ceo

Phone

(915) 224-2171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ijeoma Carol Ibeanu, MD

  • Psychiatry Physician
  • El Paso, TX
  • NPI 1861925901
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1306659685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE STE 3B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024646",
            "telephone_number": "915-224-2171",
            "fax_number": "915-289-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE STE 3B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024646",
            "telephone_number": "915-224-2171",
            "fax_number": "915-289-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN BLOOM PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "IBEANU",
        "authorized_official_first_name": "IJEOMA",
        "authorized_official_title_or_position": "PSYCHIATRIST/CEO",
        "authorized_official_telephone_number": "915-224-2171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Motongo
• Hilda Lanyein Mott, NP
• Debra Motto, MD
• Jennifer Ann Motz, PA-C
• Pablo Miguel Moujan, M.D.
• Mountain Man Physical Therapy LLC
• Mountain Star Counseling PLLC
• Mountain Star Pharmacy LLC
• Mountain Star Sleep Diagnostic, LLC
• Mountain Star Sleep Diagnostics (Mountain View Sleep Diagnostics)

• Psychiatry Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.