Organization Active NPI

Bloom & Balance Psychiatry, PLLC

  • Medical Physician Assistant
  • Lakewood Ranch, FL
National Provider Identifier
1538035951
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
BLOOM & BALANCE PSYCHIATRY, PLLC
Practice address
6901 Professional Pkwy Ste 200
Lakewood Ranch, FL 34240-8473
Phone
(941) 352-9832
Fax
(941) 855-3009
NPI assigned
Oct 13, 2025
Last updated
Jan 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Annabelle Joy CarneyNPI 1477167476
Title
Owner/Clinician
Phone
(253) 722-6884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

6901 Professional Pkwy Ste 200
Lakewood Ranch, FL 34240-8473

Mailing address

4116 Butte TRL
Bradenton, FL 34211-1537
Phone (941) 352-9832

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1538035951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 BUTTE TRL",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342111537",
            "telephone_number": "941-352-9832",
            "fax_number": "941-855-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 PROFESSIONAL PKWY STE 200",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408473",
            "telephone_number": "941-352-9832",
            "fax_number": "941-855-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM & BALANCE PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "ANNABELLE JOY",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "253-722-6884"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.