Organization Active NPI

Bridge & Bloom Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Braintree, MA
National Provider Identifier
1366354516
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BRIDGE & BLOOM PSYCHIATRY, PLLC
Practice address
150 Grossman Dr Ste 205
Braintree, MA 02184-4947
Phone
(617) 852-3925
NPI assigned
Sep 22, 2026
Last updated
Sep 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Dr. Xuan Nguyen, DNP, PMHNP, AGPCNP
Title
Nurse Practitioner
Phone
(617) 852-3925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

150 Grossman Dr Ste 205
Braintree, MA 02184-4947

Mailing address

150 Grossman Dr Ste 205
Braintree, MA 02184-4947
Phone (617) 852-3925

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1366354516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 GROSSMAN DR STE 205",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844947",
            "telephone_number": "617-852-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GROSSMAN DR STE 205",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844947",
            "telephone_number": "617-852-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE & BLOOM PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "XUAN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "617-852-3925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHNP, AGPCNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.