Active NPI
Blossoming Growth Therapy, LLC
- Adolescent and Children Mental Health Clinic/Center
- Bethesda, MD
National Provider Identifier
1912755141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- BLOSSOMING GROWTH THERAPY, LLC
- Practice address
- 4400 E West Hwy Ste 720
Bethesda, MD 20814-4509 - Phone
- (440) 413-4103
- NPI assigned
- May 13, 2024
- Last updated
- May 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Calvey, MSW
- Title
- Owner
- Phone
- (440) 413-4103
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | NU | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU | Primary |
Addresses
Primary practice location
4400 E West Hwy Ste 720
Bethesda, MD 20814-4509
Mailing address
4400 E West Hwy Ste 720
Bethesda, MD 20814-4509
National Provider Directory
National Provider DirectoryPractitioners & 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": "1715558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715558400000",
"number": "1912755141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 E WEST HWY STE 720",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 E WEST HWY STE 720",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144509",
"telephone_number": "440-413-4103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOSSOMING GROWTH THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-13",
"last_updated": "2024-05-13",
"certification_date": "2024-05-10",
"status": "A",
"authorized_official_last_name": "CALVEY",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "440-413-4103",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.