Bloom Psychotherapy, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BLOOM PSYCHOTHERAPY, LLC

Practice address

125 South Wilke Road
203D
Arlington Heights, IL 60005-1534

Phone

(224) 310-9864

NPI assigned

Jul 18, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Whitney SmithNPI 1346742657

Title

Psychologist

Phone

(224) 310-9864

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.

• Whitney Smith

  • Psychologist
  • Arlington Heights, IL
  • NPI 1346742657
  NPD Authorized official

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1447098827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SOUTH WILKE ROAD",
            "address_2": "203D",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SOUTH WILKE ROAD",
            "address_2": "203D",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051534",
            "telephone_number": "224-310-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "224-310-9864",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Katherine Blair, D.D.S.
• Rachel Blau
• Robyn Blaylock, BCBA
• Liesl Marie Blethen, PA-C
• Sharon Bloch, LCSW
• Diane M. Blumenthal, MSW, LCSW
• Jennifer Lynn Bochenek, P.T
• Tibor Boco, M.D.
• Jennifer Boers
• Ian Boiskin, M.D.

• Clinical Psychologist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.