Bloom Mind Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

BLOOM MIND INC

Practice address

1864 85TH St Apt 6C
Brooklyn, NY 11214-3125

Phone

(917) 405-7242

NPI assigned

Mar 7, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Larysa Tselovanska, MSED

Title

President

Phone

(917) 405-7242

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.

• Larysa Austova, MSED

  • Specialist
  • Brooklyn, NY
  • NPI 1417561986
  NPD

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1639978232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1864 85TH ST APT 6C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143125",
            "telephone_number": "917-405-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 85TH ST APT 6C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143125",
            "telephone_number": "917-405-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM MIND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "TSELOVANSKA",
        "authorized_official_first_name": "LARYSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-405-7242",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Menachem Mendel Blokh
• Carol Rose Blomquist, M.S. CCC/SLP
• Stephanie Blomquist
• Blondell RX Ny LLC
• Cheryl J Blonstein, PSYD
• Bloom OT
• Bloom Senior Care Center Inc
• Bloom Therapy Mental Health Counseling PLLC
• Akivah M Bloom, M.S. ED
• Halie Rose Bloom, LMSW

• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.