Active NPI
Bloom Psychiatry & Wellness LLC
- Psychiatric/Mental Health Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1669320180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BLOOM PSYCHIATRY & WELLNESS LLC
- Practice address
- 1441 Woodmont LN NW # 678
Atlanta, GA 30318-2866 - Phone
- (678) 800-0729
- NPI assigned
- Mar 19, 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
- Rosetta Tella, PMHNP
- Title
- Ceo
- Phone
- (678) 956-2073
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1441 Woodmont LN NW # 678
Atlanta, GA 30318-2866
Mailing address
1441 Woodmont LN NW # 678
Atlanta, GA 30318-2866
Phone (678) 800-0729
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Atlanta, GA
- NPI 1093600710
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773878400000",
"number": "1669320180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 WOODMONT LN NW # 678",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303182866",
"telephone_number": "678-800-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 WOODMONT LN NW # 678",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303182866",
"telephone_number": "678-800-0729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOOM PSYCHIATRY & WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-19",
"last_updated": "2026-03-19",
"certification_date": "2026-03-15",
"status": "A",
"authorized_official_last_name": "TELLA",
"authorized_official_first_name": "ROSETTA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-956-2073",
"authorized_official_credential": "PMHNP"
},
"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 Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.