Blossom Care and Behavioral Services Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BLOSSOM CARE AND BEHAVIORAL SERVICES INC

Practice address

1657 Whitehead CT
Baltimore, MD 21207-4037

Phone

(443) 200-3653

NPI assigned

Apr 12, 2022

Organization subpart

No

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

Authorized official

Name

Wakeelat A Adeoye, PMHNP-BC

Title

President

Phone

(202) 415-0285

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Blossom Care and Behavioral Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowie, MD
  • NPI 1043834757

  O20230731001343

  Same enrollment

Tax ID family

Blossom Care and Behavioral Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blossom Care and Behavioral Services Inc

  • Rehabilitation Clinic/Center
  • Baltimore, MD
  • NPI 1134861859
  NPD tax ID

Practitioners 2

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

• Lilian Kusona, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1447678180
  NPD
• Sunny Lambert

  • Psychiatric/Mental Health Nurse Practitioner
  • Upper Marlboro, MD
  • NPI 1760251268
  NPD

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1508508227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 WHITEHEAD CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074037",
            "telephone_number": "443-200-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 WHITEHEAD CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074037",
            "telephone_number": "443-200-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM CARE AND BEHAVIORAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "ADEOYE",
        "authorized_official_first_name": "WAKEELAT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-415-0285",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blooming Hands Phlebotomy
• Blooming Healthcare LLC
• Blossom ABA Therapy MD LLC
• Blossom and Flourish , LLC
• Blossom Care and Behavioral Services Inc
• Blossoming Communication, LLC
• Blossoming Minds Counseling, LLC
• Pamela Michelle Blount, LCSW-C
• Be'Jon Blow
• Traci M Blow, BCBA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.