Bloom Behavioral Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLOOM BEHAVIORAL HEALTH

Practice address

250 Passaic Ave Ste 200
Fairfield, NJ 07004-2518

Phone

(973) 784-8837

NPI assigned

Jan 17, 2025

Last updated

Aug 20, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Burney

Title

Owner

Phone

(973) 510-5578

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1679384739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PASSAIC AVE STE 200",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PASSAIC AVE STE 200",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042518",
            "telephone_number": "973-784-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "BURNEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-510-5578"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rupal Bhatt, MD
• Shirish Vinayak Bhatt, M.D.
• Kristen Andrea Binaso, RPH
• Ami Biswas, RPH
• Regina Michelle Black, RPH
• Timothy Bluish
• Yvonne Serwaa Boadu, APN-BC
• Gene Louis Boucher, DC
• Melanie Boyadjis
• Lisa E Brady, PHARMD

• Community/Behavioral Health Agency in Fairfield, NJ
• Providers in Fairfield, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.