Blossom Center for Integrative Psychiatry LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BLOSSOM CENTER FOR INTEGRATIVE PSYCHIATRY LLC

Practice address

1800 Diagonal Rd Ste 600
Alexandria, VA 22314-2840

Phone

(703) 543-9421

NPI assigned

Mar 5, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Weisheng Mao, MDNPI 1972000982

Title

Owner

Phone

(703) 543-9421

Specialties & licenses 2

Addresses

Other names 1

• Blossom Center for Integrative Psychiatry Doing business as

Practitioners 1

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

• Weisheng Renee Mao, MD

  • Psychiatry Physician
  • Washington, DC
  • NPI 1972000982

  Psychiatry

  NPD Authorized official

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1346048352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 DIAGONAL RD STE 600",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 DIAGONAL RD STE 600",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142840",
            "telephone_number": "703-543-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM CENTER FOR INTEGRATIVE PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "MAO",
        "authorized_official_first_name": "WEISHENG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-543-9421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom Center for Integrative Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Archer Blomme, MA
• Sharon Elaine Blondeau, RN
• Emily Rachel Parker Blondin, PT, DPT, MSPT
• Peter Bloom, PH.D.
• Sonja Olsen Bloom, M.A.
• Blossom Hearing Center LLC
• Belinda Ann Blough, PTA
• Miles Blount
• Blue Beginning Health, Inc.
• Blue Box Psychotherapy Inc

• All providers in Alexandria, VA
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.