Organization Active NPI

Bloom & Build, Center for Reproductive & Integrative Psychiatry, Inc.

Doing business as Bloom and Build Integrative Psychiatry

  • Psychiatry Physician
  • San Jose, CA
National Provider Identifier
1912737198
Registry record updated Aug 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BLOOM & BUILD, CENTER FOR REPRODUCTIVE & INTEGRATIVE PSYCHIATRY, INC.
Doing business as
Bloom and Build Integrative Psychiatry
Practice address
1760 The Alameda Ste 100
San Jose, CA 95126-1728
Phone
(408) 800-1363
NPI assigned
Aug 3, 2024
Last updated
Aug 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2024

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

Authorized official

Name
Dr. Alecia Lanette Greenlee, MDNPI 1487072922
Title
Founder and Ceo
Phone
(408) 800-1519

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 Physician 2084P0800X Primary

Addresses

Primary practice location

1760 The Alameda Ste 100
San Jose, CA 95126-1728

Mailing address

500 E Hamilton Ave # 1020
Campbell, CA 95008-0210
Phone (916) 549-4392

Other names 1

  • Bloom and Build Integrative Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

500 E Hamilton Ave
Campbell, CA 95008
Phone (415) 894-2073

1760 The Alameda
Ste 100
San Jose, CA 95126
Phone (408) 427-5772

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1722643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722643200000",
    "number": "1912737198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E HAMILTON AVE # 1020",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080210",
            "telephone_number": "916-549-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 THE ALAMEDA STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261728",
            "telephone_number": "408-800-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM & BUILD, CENTER FOR REPRODUCTIVE & INTEGRATIVE PSYCHIATRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-03",
        "last_updated": "2024-08-03",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "GREENLEE",
        "authorized_official_first_name": "ALECIA",
        "authorized_official_middle_name": "LANETTE",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "408-800-1519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom and Build Integrative Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; 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.