Bloomwell Behavioral Health Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLOOMWELL BEHAVIORAL HEALTH INC.

Practice address

382 NE 191St St Ste 98090
Miami, FL 33179-3899

Phone

(501) 282-0630

NPI assigned

Feb 29, 2024

Organization subpart

No

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

Authorized official

Name

Logan Pratt

Title

Ceo

Phone

(501) 282-0630

Specialties & licenses 7

Addresses

Tax ID family

Bloomwell Behavioral Health Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Bloomwell Behavioral Health Inc.

  • Behavior Analyst
  • Raleigh, NC
  • NPI 1275344848
  NPD tax ID
• Bloomwell Behavioral Health Inc.

  • Behavior Analyst
  • Elkhorn, NE
  • NPI 1386455954
  NPD tax ID
• Bloomwell Behavioral Health Inc.

  • Behavior Analyst
  • Omaha, NE
  • NPI 1396533600
  NPD tax ID
• Bloomwell Behavioral Health Inc.

  • Behavior Analyst
  • Omaha, NE
  • NPI 1427846724
  NPD tax ID
• Bloomwell Behavioral Health Inc.

  • Behavior Analyst
  • Omaha, NE
  • NPI 1851102628
  NPD tax ID

Locations

Practitioners 25

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

• Amina Ahmed

  • Behavior Technician
  • Burnsville, MN
  • NPI 1710650080
  NPD (past)
• Elaine Grace Berghuis, RBT

  • Behavior Technician
  • Woodbury, MN
  • NPI 1659112175
  NPD (past)
• Logan Taylor Buswell

  • Behavior Technician
  • Cary, NC
  • NPI 1972165884
  NPD (past)
• Angela Marie Camitsch

  • Behavior Technician
  • Mendota Heights, MN
  • NPI 1619859097
  NPD (past)
• Kaylee Rae Chapman

  • Behavior Technician
  • Mendota Heights, MN
  • NPI 1780566166
  NPD (past)
• Daniella Ashe'Esla Embu

  • Behavior Technician
  • Woodbury, MN
  • NPI 1841176757
  NPD (past)
• Aazha'Rae Cimone Jackson

  • Behavior Technician
  • Mendota Heights, MN
  • NPI 1104708585
  NPD (past)
• Payton Jeanne Marie Lamont

  • Behavior Technician
  • Woodbury, MN
  • NPI 1841164779
  NPD (past)
• Stephanie Ellen Lopez, MA, BCBA, LBA

  • Behavior Analyst
  • Woodbury, MN
  • NPI 1235806902
  NPD (past)
• Gabriella Rose Madigan

  • Behavior Technician
  • Woodbury, MN
  • NPI 1255202412
  NPD (past)
• Brookelynn McCumber, MS, BCBA, LBA

  • Behavior Analyst
  • Bloomington, MN
  • NPI 1235858226
  NPD (past)
• Mackenzie Ann Mirsch

  • Behavior Technician
  • Woodbury, MN
  • NPI 1861363038
  NPD (past)

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1740047489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 NE 191ST ST STE 98090",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 NE 191ST ST STE 98090",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793899",
            "telephone_number": "501-282-0630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3397 Coon Rapids Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554334578",
            "country_code": "US",
            "telephone_number": "612-201-2468",
            "fax_number": "919-561-6112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2080 Wooddale Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551252920",
            "country_code": "US",
            "telephone_number": "612-201-2468",
            "fax_number": "919-561-6112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1345 Mendota Heights Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Mendota Heights",
            "state": "MN",
            "postal_code": "551202007",
            "country_code": "US",
            "telephone_number": "612-201-2468",
            "fax_number": "919-561-6112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 Xerxes Ave S Ste 116",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554311200",
            "country_code": "US",
            "telephone_number": "612-201-2468",
            "fax_number": "919-561-6112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3414 N Duke St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277041797",
            "country_code": "US",
            "telephone_number": "919-391-9087",
            "fax_number": "919-561-6112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2910 Sumner Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276162965",
            "country_code": "US",
            "telephone_number": "919-391-9087",
            "fax_number": "919-561-6112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12400 Portland Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553376839",
            "country_code": "US",
            "telephone_number": "612-201-2468",
            "fax_number": "919-561-6112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLOOMWELL BEHAVIORAL HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-282-0630"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• William R Blouin, MSN,ARNP,CPNP

• Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

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