Bloom Psych Services LLC
Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry in Stratford, Connecticut
1760055826- Practice location
- 3000 Main St, Stratford, CT 06614-4939
- Phone
- 203-683-0625
- Fax
- —
- Last updated
- August 17, 2021
Bloom Psych Services LLC is a healthcare organization based in Stratford, CT. Bloom Psych Services LLC practices in Stratford, CT. The NPI Number for Bloom Psych Services LLC is 1760055826. The current practice location address for Bloom Psych Services LLC is 3000 Main St, Stratford, CT 06614-4939 and can be reached out via phone at 203-683-0625.
Provider Profile Details
- NPI Number
- 1760055826
- Provider Name
- Bloom Psych Services LLC
- Provider Entity Type
- Organization
- Address
- 3000 Main St, Stratford, CT 06614-4939
- Phone Number
- 203-683-0625
- Primary Taxonomy
- Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry · 2084B0040X
- Organization Subpart
- No
- Authorized Official
- Dr. Ananthakumar Thillainathan, MD · Owner · 203-683-0625
- Provider Enumeration Date
- July 19, 2021
- Last Update Date
- August 17, 2021
- Certification Date
- August 17, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3000 Main St
Stratford, CT 06614-4939 - City
- Stratford
- State
- Connecticut
- Zip
- 06614-4939
- Phone Number
- 203-683-0625
Provider Business Mailing Address Details
- Address
- 3000 Main St
Stratford, CT 06614-4939 - City
- Stratford
- State
- CT
- Zip
- 06614-4939
- Phone Number
- 203-683-0625
License Information
- Taxonomy (1)
- Psychologist, Group Psychotherapy · 103TP2701X
- Taxonomy (2)
- Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry · 2084B0040X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Bloom Psych Services LLC?
The NPI number of Bloom Psych Services LLC is 1760055826. It was assigned on July 19, 2021 and is currently active in the NPPES registry.
What is the specialty of Bloom Psych Services LLC?
Bloom Psych Services LLC is registered under the primary taxonomy Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (code 2084B0040X).
Where does Bloom Psych Services LLC practice?
The practice location is 3000 Main St, Stratford, CT 06614-4939. The office can be reached at 203-683-0625 (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 1760055826 directly on the NPPES registry website.