Bloom Mental Wellness PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BLOOM MENTAL WELLNESS PLLC

Practice address

57 N 490 W
American Fork, UT 84003-2264

Phone

(801) 421-3925

NPI assigned

Mar 27, 2026

Last updated

Sep 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carissa RobinsonNPI 1003627308

Title

Sole Owner

Phone

(801) 358-8861

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, and the practitioner matching its NPPES authorized official.

• Carissa Robinson

  • Psychiatric/Mental Health Nurse Practitioner
  • Pleasant Grove, UT
  • NPI 1003627308
  NPD Authorized official

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788652800000",
    "number": "1508705229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 N 490 W",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032264",
            "telephone_number": "801-421-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 N 490 W",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032264",
            "telephone_number": "801-421-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM MENTAL WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-09-06",
        "certification_date": "2026-09-06",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "801-358-8861"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aryanna Blackburn
• David R Blackhurst, D.D.S.
• Samuel S Blake, M.D.
• Michael Ryan Blaney, CRNA
• Jacob Blood, D.P.T.
• Nicolas Gabriel Bobo
• Jeana F Bodine, CCC-A, AAA
• Savanna Bohrer
• David R Bolick, MD
• Bryton Stephen Bolton, CRNA

• Psychiatric/Mental Health Nurse Practitioner in American Fork, UT
• Providers in American Fork, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; 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.