Active NPI
Branch and Bloom Psychiatry, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Cape Girardeau, MO
National Provider Identifier
1609787456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BRANCH AND BLOOM PSYCHIATRY, LLC
- Practice address
- 2441 Myra Dr # 11
Cape Girardeau, MO 63703-5803 - Phone
- (573) 573-5203
- Fax
- (573) 908-7839
- NPI assigned
- Sep 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimberly Tunell Haber, PMHNP-BC
- Title
- Founder/Owner/Authorized Official
- Phone
- (573) 520-3484
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
2441 Myra Dr # 11
Cape Girardeau, MO 63703-5803
Mailing address
2441 Myra Dr # 11
Cape Girardeau, MO 63703-5803
Phone (573) 573-5203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789171200000",
"number": "1609787456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2441 MYRA DR # 11",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035803",
"telephone_number": "573-573-5203",
"fax_number": "573-908-7839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 MYRA DR # 11",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035803",
"telephone_number": "573-573-5203",
"fax_number": "573-908-7839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRANCH AND BLOOM PSYCHIATRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-12",
"last_updated": "2026-09-12",
"certification_date": "2026-09-12",
"status": "A",
"authorized_official_last_name": "HABER",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "TUNELL",
"authorized_official_title_or_position": "FOUNDER/OWNER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "573-520-3484",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.