Fall Bloom, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

FALL BLOOM, LLC

Practice address

8759 Clinton Macon Rd
Clinton, MI 49236-9572

Phone

(517) 552-2222

Fax

(517) 552-2222

NPI assigned

Nov 19, 2025

Last updated

Nov 19, 2025By 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

Claudia J Fall, PMHNP-BCNPI 1013885714

Title

Pmhnp-BC

Phone

(517) 552-2222

Specialties & licenses 1

Addresses

Tax ID family

Fall Bloom LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Fall Bloom, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clinton, MI
  • NPI 1760342380
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Claudia J Fall, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Manchester, MI
  • NPI 1013885714

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1750242723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 SHERIDAN RD",
            "city": "MANCHESTER",
            "state": "MI",
            "postal_code": "481588601",
            "telephone_number": "517-552-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8759 CLINTON MACON RD",
            "city": "CLINTON",
            "state": "MI",
            "postal_code": "492369572",
            "telephone_number": "517-552-2222",
            "fax_number": "517-552-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALL BLOOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "FALL",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "517-552-2222",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Marjorie Creely, PT, DPT, ATC
• Kendra Crombez
• Paul Derheim
• Elysian Counseling, LLC
• Eos Psychotherapy, LLC
• Fall Bloom, LLC
• Daniel Fleming
• Growth & Serenity Through Therapy, LLC
• Rose A Hatchett, MA, OTR, LPC
• Holen Family Chiropractic

• Psychiatric/Mental Health Nurse Practitioner in Clinton, MI
• Providers in Clinton, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.