Wallflowers Bloom Family Therapy Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

WALLFLOWERS BLOOM FAMILY THERAPY INC

Practice address

25000 Avenue Stanford Ste 240
Valencia, CA 91355-4598

Phone

(818) 414-8507

NPI assigned

Dec 8, 2020

Organization subpart

No

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

Authorized official

Name

Nicole Segroves

Title

Practice Manager

Phone

(661) 874-7851

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.

• Erika Paola Ibarra

  • Marriage & Family Therapist
  • Valencia, CA
  • NPI 1932464807
  NPD

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1588260319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13883 GARBER ST",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913315431",
            "telephone_number": "818-414-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 AVENUE STANFORD STE 240",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554598",
            "telephone_number": "818-414-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLFLOWERS BLOOM FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "SEGROVES",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "661-874-7851"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Dianne Wagner, RN, DNP, FNP
• Luke Waldschmitt
• Manjit Walia, PSY.D.
• Finley Walker
• Roger Charles Wallace, M.D.
• James P. Walsh, LMFT
• Sofia Walton
• Emily Renee Wamhof
• James David Wamsley
• Imani Ward

• Marriage & Family Therapist in Valencia, CA
• Providers in Valencia, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.