BLOOM BEHAVIORAL SOLUTIONS, INC. (NPI# 1881953347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881953347 |
| Entity Type | Organization |
| Organization Name | BLOOM BEHAVIORAL SOLUTIONS, INC. |
| Other Organization Name | BLOOM REHABILITATION SERVICES |
| Practice Address |
9141 Cypress Green Dr Ste 2 Jacksonville FL 32256-2013 |
| Mailing Address |
9141 Cypress Green Dr Suite # 2 Jacksonville FL 32256-2013 |
| Practice Telephone | 9046471849 |
| Practice Fax Number | 9046472625 |
| Mailing Telephone | 9046471849 |
| Mailing Fax Number | 9046472625 |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2014-10-21 |
| Authorized Official Name | MRS. GENEVIEVE S COVINGTON (CEO) |
| Authorized Official Telephone | 9046471849 |
| Authorized Official Credential | BCABA |
| Is Organization Subpart | Y |
| Parent Organization Name | BLOOM BEHAVIORAL SOLUTIONS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bloom Rehabilitation Services | Doing Business As Name - Organization |
| Street Address |
9141 CYPRESS GREEN DR STE 2 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508066465 | Dr. Vijapura and Associates | Psychiatry & Neurology | 9141 Cypress Green Dr, Suite 1, Jacksonville, FL 32256-2013 | 2007-07-19 |
| 1093176091 | Vijapura Behavioral Health | Psychologist | 9141 Cypress Green Dr, Suite 1, Jacksonville, FL 32256-2013 | 2016-03-18 |
| 1376904557 | Vijapura Behavioral Health Pllc | Psychiatry & Neurology | 9141 Cypress Green Dr, Suite 1, Jacksonville, FL 32256-2013 | 2016-03-15 |
| 1891160859 | Amit Vijapura Md Pa | Psychologist | 9141 Cypress Green Dr, Suite 1, Jacksonville, FL 32256-2013 | 2015-12-02 |
| 1215310305 | Madelon Kolovich | Behavioral Analyst | 9141 Cypress Green Dr, Jacksonville, FL 32256-2013 | 2015-07-07 |
| 1881008944 | Landyn Hively | Behavioral Analyst | 9141 Cypress Green Dr, Suite # 2, Jacksonville, FL 32256-2013 | 2014-06-17 |
| 1689088734 | Kristen Bullard | Behavioral Analyst | 9141 Cypress Green Dr, Jacksonville, FL 32256-2013 | 2014-06-17 |
| 1659784999 | Carly Easterday | Speech-Language Pathologist | 9141 Cypress Green Dr, Suite # 2, Jacksonville, FL 32256-2013 | 2014-06-04 |
| 1699083667 | Genevieve Hickey Covington | Behavioral Analyst | 9141 Cypress Green Dr, Jacksonville, FL 32256-2013 | 2010-09-23 |
| 1942489604 | Kelly L Mitchell | Counselor | 9141 Cypress Green Dr, Suite 1, Jacksonville, FL 32256-2013 | 2007-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1205399946 | Usa United Surgical Assistants | Clinic/Center | Bahri Surgical Center, 9726 Touchton Rd, Jacksonville, FL 32246 | 2019-04-10 |
| 1801313788 | Ace Medical LLC | Clinic/Center | 3450 Dunn Ave Ste 302, Jacksonville, FL 32218-6427 | 2017-08-23 |
| 1780033498 | Healthworks Med Group of Florida Pa | Clinic/Center | 5022 Gate Pkwy Ste 400, Jacksonville, FL 32256-0833 | 2016-06-03 |
| 1851344378 | Solantic/south Florida, LLC | Clinic/Center | 8711 Perimter Park Blvd., Suite 6, Jacksonville, FL 32216 | 2006-05-18 |
| 1255336350 | Walter R Gilbert Jr Md Pa | Clinic/Center | 3 Shircliff Way, Ste 122, Jacksonville, FL 32204-4757 | 2005-06-15 |
| 1710592787 | Infinite Rehabilitation and Wellness Center, LLC | Clinic/Center | 6349 Beach Blvd, Jacksonville, FL 32216-2707 | 2020-09-15 |
| 1083229017 | Infinite Rehabilitation and Wellness Center, LLC | Clinic/Center | 7450 103rd St, Jacksonville, FL 32210-6780 | 2020-09-15 |
| 1801407291 | Patient Focus Physicians Associates Inc | Clinic/Center | 101 Century 21 Dr, Jacksonville, FL 32216-8115 | 2020-08-11 |
| 1093331456 | Jax Health LLC | Clinic/Center | 4540 Southside Blvd Ste 401, Jacksonville, FL 32216-5488 | 2020-06-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.