Active NPIOrganization

Innerbloom Psychology LLC

Psychologist, Clinical in Providence, Rhode Island

NPI Number1518771476
Practice location
205 Waterman St # L3, Providence, RI 02906-4313
Fax
—
Last updated
February 20, 2025

Innerbloom Psychology LLC is a healthcare organization based in Providence, RI. Innerbloom Psychology LLC practices in Providence, RI. The NPI Number for Innerbloom Psychology LLC is 1518771476. The current practice location address for Innerbloom Psychology LLC is 205 Waterman St # L3, Providence, RI 02906-4313 and can be reached out via phone at 401-310-0376.

Provider Profile Details

NPI Number
1518771476
Provider Name
Innerbloom Psychology LLC
Provider Entity Type
Organization
Address
205 Waterman St # L3, Providence, RI 02906-4313
Phone Number
401-310-0376
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Organization Subpart
No
Authorized Official
Zoe Mushkat, PHD · Owner/Clinical Psychologist · 401-310-0376
Provider Enumeration Date
February 3, 2025
Last Update Date
February 20, 2025
Certification Date
February 20, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
205 Waterman St # L3
Providence, RI 02906-4313
Zip
02906-4313
Phone Number
401-310-0376
Providence, RI 02906Get directions →

Provider Business Mailing Address Details

Address
205 Waterman St # L3
Providence, RI 02906-4313
City
Providence
State
RI
Zip
02906-4313
Phone Number
401-310-0376

License Information

Taxonomy (1)
Psychologist, Cognitive & Behavioral · 103TB0200X
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary
Taxonomy (3)
Psychologist, Health · 103TH0004X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Innerbloom Psychology LLC?

The NPI number of Innerbloom Psychology LLC is 1518771476. It was assigned on February 3, 2025 and is currently active in the NPPES registry.

What is the specialty of Innerbloom Psychology LLC?

Innerbloom Psychology LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).

Where does Innerbloom Psychology LLC practice?

The practice location is 205 Waterman St # L3, Providence, RI 02906-4313. The office can be reached at 401-310-0376 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518771476 directly on the NPPES registry website.

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