Bloom Behavioral Health Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLOOM BEHAVIORAL HEALTH SERVICES, LLC

Practice address

209 N N St
Tulare, CA 93274-4228

Phone

(559) 656-1800

Fax

(559) 656-1500

NPI assigned

May 3, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Carlos Ortega

Title

Chief Executive Officer

Phone

(562) 972-7604

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Katie Christina McKay, LCSW

  • Clinical Social Worker
  • Norwalk, CA
  • NPI 1093149064
  NPD (past)

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1437714532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N JENNIFER WAY",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932579031",
            "telephone_number": "562-728-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N N ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932744228",
            "telephone_number": "559-656-1800",
            "fax_number": "559-656-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "562-972-7604",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Bisconer
• Carlos Bishop, LPT
• Danielle Ranee Bishop, PT 35171
• Johnny Lee Blackmon, LMFT
• Juan Pablo Blas, ASW
• Christian J Borberg Franceschi, MD
• Caroline Botello
• Mickayla Bottoms, ASW
• Harold Michael Boulton, M.D.
• Amgad Shawky Boulus, RPH

• Community/Behavioral Health Agency in Tulare, CA
• Providers in Tulare, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.