Wildbloom Therapy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WILDBLOOM THERAPY

Practice address

34428 Yucaipa Blvd # E130
Yucaipa, CA 92399-2474

Phone

(909) 433-1484

NPI assigned

Jun 3, 2026

Organization subpart

No

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

Authorized official

Name

Nigar Eminzade, LMFTNPI 1104760727

Title

President/Psychotherapist

Phone

(909) 433-1484

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nigar Eminzade

  • Marriage & Family Therapist
  • Irvine, CA
  • NPI 1104760727
  NPD Authorized official

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1699608331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34428 YUCAIPA BLVD # E130",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992474",
            "telephone_number": "909-433-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34428 YUCAIPA BLVD # E130",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992474",
            "telephone_number": "909-433-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDBLOOM THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "EMINZADE",
        "authorized_official_first_name": "NIGAR",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "909-433-1484",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Whitcomb, DPT
• Sarah Whitley, M.S., CCC-SLP
• Carissa Yvonne Whitten
• Ariel Divinity Wilcoxen, M.S
• Margaret Nell Wild, PH.D., M.S., MFTI
• Jessica Lynn Willemse, NP-C
• Gwenique Williams
• Mattison Williams, HIGH SCHOOL DIPLOMA
• Monica Williams
• Tamarind Williams, HIGH SCHOOL DIPLOMA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.