Blooming Wisdom Psychiatry, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BLOOMING WISDOM PSYCHIATRY, PLLC

Practice address

789 Ethan Allen Hwy
Milton, VT 05468-9797

Phone

(802) 221-3313

Fax

(802) 209-3507

NPI assigned

Jan 13, 2025

Last updated

Jan 13, 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

Dr. Jennifer Hall, DONPI 1962521559

Title

Owner

Phone

(814) 490-9235

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

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.

• Jennifer Marie Hall, DO

  • Geriatric Psychiatry Physician
  • Burlington, VT
  • NPI 1962521559
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1982414686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054680085",
            "telephone_number": "802-221-3313",
            "fax_number": "802-209-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 ETHAN ALLEN HWY",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054689797",
            "telephone_number": "802-221-3313",
            "fax_number": "802-209-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING WISDOM PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-490-9235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Mell Counseling, PLLC
• Jordan H Ayres, DPT
• Kim Barber
• Michael Bergman
• Raphael Bielinski, M.D
• Thomas G Bolduc, M.D.
• Katherine J Bradley, PT
• Hannah Cole Brown
• Andrea J Bushey, ATC
• Emily Carvey, LISCW, LADC

• Psychiatry Physician in Milton, VT
• Providers in Milton, VT by specialty
• Psychiatry Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.