NPIMap

Organization Active NPI

Innerbloom Healing

  • Psychiatry Physician
  • Charleston, SC
National Provider Identifier
1912648775
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INNERBLOOM HEALING
Practice address
1160 Folly Rd
Charleston, SC 29412-4114
Phone
(843) 410-8289
NPI assigned
Apr 5, 2022
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Juan Pablo Galindo, DONPI 1740607670
Title
Medical Director
Phone
(916) 717-6226

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1160 Folly Rd
Charleston, SC 29412-4114

Mailing address

19 Carolina St
Charleston, SC 29403-4736

National Provider Directory

National Provider Directory

Locations

1160 Folly Rd
Charleston, SC 29412
Phone (843) 410-8289

103 Logan St
Ste 300
Charleston, SC 29401
Phone (843) 405-7598

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1912648775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CAROLINA ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294034736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 FOLLY RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124114",
            "telephone_number": "843-410-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERBLOOM HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "GALINDO",
        "authorized_official_first_name": "JUAN PABLO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "916-717-6226",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.