Full Bloom Functional Health LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

FULL BLOOM FUNCTIONAL HEALTH LLC

Practice address

1207 S Main St Ste 1
Palmer, MA 01069-1897

Phone

(413) 200-2808

NPI assigned

Apr 15, 2026

Last updated

Apr 15, 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

Shaina LabonteNPI 1972050318

Title

Owner

Phone

(413) 200-2808

Specialties & licenses 1

Addresses

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.

• Shaina Labonte, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Palmer, MA
  • NPI 1972050318
  NPD (past) Authorized official

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

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1558205203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 S MAIN ST STE 1",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 S MAIN ST STE 1",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691897",
            "telephone_number": "413-200-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL BLOOM FUNCTIONAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "LABONTE",
        "authorized_official_first_name": "SHAINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-200-2808"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Elizabeth Foley
• Leigh D Ford, MD
• Franklin MRI Center LLC (Shields MRI at Baystate Wing Hospital)
• Sophia Franklin
• Burton Franzman, PHD
• Kelly O. Galster, D.O.
• Gilbert C Garbiso Jr., MD
• Gary Wolf
• Marame K Gattan, MD
• Cheryl A Geoffrion, MD

• Multi-Specialty Clinic/Center in Palmer, MA
• Providers in Palmer, MA by specialty
• Multi-Specialty Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.