Organization Active NPI

Bloom Behavioral Therapy

  • Behavior Analyst
  • Doral, FL
National Provider Identifier
1932087145
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BLOOM BEHAVIORAL THERAPY
Practice address
9930 NW 21St St Ste 202
Doral, FL 33172-2212
Phone
(305) 318-9898
NPI assigned
Aug 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Yenisei FeriaNPI 1477803757
Title
President
Phone
(305) 318-9898

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
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

9930 NW 21St St Ste 202
Doral, FL 33172-2212

Mailing address

9930 NW 21St St Ste 202
Doral, FL 33172-2212

National Provider Directory

National Provider Directory

Locations

9930 NW 21st St
Ste 202
Doral, FL 33172

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1932087145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9930 NW 21ST ST STE 202",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 NW 21ST ST STE 202",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722212",
            "telephone_number": "305-318-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM BEHAVIORAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "FERIA",
        "authorized_official_first_name": "YENISEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-318-9898"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.