Organization Active NPI

Bloom Behavior PLLC

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1568386472
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BLOOM BEHAVIOR PLLC
Practice address
4923 N Ridgeway Ave Apt 2
Chicago, IL 60625-0926
Phone
(815) 342-8932
NPI assigned
Aug 5, 2026
Last updated
Sep 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Brianna Campbell, M.ED., BCBA, LBA
Title
Board-Certified Behavior Analyst
Phone
(815) 342-8932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4923 N Ridgeway Ave Apt 2
Chicago, IL 60625-0926

Mailing address

4923 N Ridgeway Ave Apt 2
Chicago, IL 60625-0926
Phone (815) 342-8932

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1568386472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4923 N RIDGEWAY AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606250926",
            "telephone_number": "815-342-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4923 N RIDGEWAY AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606250926",
            "telephone_number": "815-342-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM BEHAVIOR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "BOARD-CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "815-342-8932",
        "authorized_official_credential": "M.ED., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.