Active NPI
Blossom Therapy
- Behavior Analyst
- Saint Louis, MO
National Provider Identifier
1659069326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BLOSSOM THERAPY
- Practice address
- 4625 Lindell Blvd Ste 200
Saint Louis, MO 63108-3725 - Phone
- (732) 534-2823
- NPI assigned
- May 1, 2023
- Last updated
- May 1, 2023
- 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
- Faigel Weiss
- Title
- Ceo
- Phone
- (848) 525-7013
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
4625 Lindell Blvd Ste 200
Saint Louis, MO 63108-3725
Mailing address
4625 Lindell Blvd Ste 200
Saint Louis, MO 63108-3725
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682899200000",
"number": "1659069326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 LINDELL BLVD STE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631083725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 LINDELL BLVD STE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631083725",
"telephone_number": "732-534-2823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOSSOM THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-01",
"certification_date": "2023-04-26",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "FAIGEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "848-525-7013"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
- Blooming Beyond the Blues LLC
- Blooming Oaks Wellness & Rehabilitation LLC (Bluebird Wellness & Rehabilitation)
- Harold Raymond Bloss, ED.D.
- Jacque Blossfield, LPC
- Blossom & Flow Therapy LLC
- Tre'Via Blount
- Mark L Blucher, M.D.
- Blue Bayou Service Inc
- Blue Circle Rehab and Nursing LLC
- Blue Harbor Counseling, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.