BLOOM BEHAVIOR AND CONSULTING SERVICES (NPI# 1205374907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205374907 |
Entity Type | Organization |
Organization Name | BLOOM BEHAVIOR AND CONSULTING SERVICES |
Practice Address |
85 Stoneheights Dr Waterford CT 06385-1975 |
Practice Telephone | 8609170923 |
Mailing Telephone | 8609170923 |
Enumeration Date | 2017-02-02 |
Last Update Date | 2017-02-02 |
Authorized Official Name | COURTNEY PINNER (MEMBER) |
Authorized Official Telephone | 8609170923 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 1-14-10399 | CT | Agencies |
Entity Type | Entity Name | Entity Address |
---|---|---|
Connecticut Business Registrations | Bloom Behavior and Consulting Services, LLC | 85 Stoneheights Dr, Waterford, CT 06385 |
Street Address |
85 STONEHEIGHTS DR |
City | WATERFORD |
State | CT |
Zip Code | 06385-1975 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033666797 | Bloom Behavior Consulting Services LLC | Behavioral Analyst | 85 Stoneheights Dr, Waterford, CT 06385-1975 | 2016-09-09 |
1962964874 | Amy Lynn Anderson | Behavioral Analyst | 85 Stoneheights Dr, Waterford, CT 06385-1975 | 2019-04-01 |
1205311347 | Tiarra Shafer Cupp | Behavioral Analyst | 85 Stoneheights Dr, Waterford, CT 06385-1975 | 2018-09-25 |
1285112482 | Jon Peterson | Behavioral Analyst | 85 Stoneheights Dr, Waterford, CT 06385-1975 | 2018-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073140331 | Megan Plattner | Hearing Instrument Specialist | Waterford Commons 903-915 Hartford Tpke, Store 16, Waterford, CT 06385 | 2020-03-26 |
1174032288 | Winakor's Healing Practice | Social Worker | 758 Broad St. Ext., Waterford, CT 06385 | 2017-09-21 |
1972029494 | Michael C Marshall | Social Worker | 112 Great Neck Road, Empowerment Counseling Services, LLC, Waterford, CT 06385 | 2017-08-16 |
1750810297 | Taylor Anne Tomasetti | Occupational Therapist | 24 Doyle Rd, Waterford, CT 06385 | 2017-06-08 |
1366993214 | Ascension Naturopathic Healing Center LLC | Clinic/Center | 175 Boston Post Road, Floor 1, Waterford, CT 06385 | 2016-10-16 |
1467815126 | Sanborn Optometric Associates | Clinic/Center | 900 Hartford-new London Turnpike, Waterford, CT 06385 | 2016-03-31 |
1225499007 | Martin L Hellman, Od, Faao, LLC | Optometrist | 850 Waterford Tpke, Waterford, CT 06385 | 2016-03-08 |
1861876211 | Mallory Rose Devona | Counselor | 2 Leary Dr, Waterford, CT 06385 | 2015-07-15 |
1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
1194085076 | Meghana Rao Brito | Internal Medicine | 196 Waterford Pkwy S Ste 103, Waterford, CT 06385 | 2012-05-24 |
Find all providers in zip 06385 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306493218 | Compass Collaborative Counseling, Pllc | Community/Behavioral Health | 11 Boston Post Rd Fl 2, Waterford, CT 06385-2401 | 2019-08-26 |
1215461975 | A Better Future Inc. | Community/Behavioral Health | 1405 Farmridge Ave, Waterford, MI 48328-4320 | 2017-04-19 |
1740731892 | Progressive Lifestyle Inc | Community/Behavioral Health | 7919 Allan Ct, Waterford, MI 48327-4196 | 2016-10-24 |
1548711898 | Progressive Lifestyle Inc | Community/Behavioral Health | 37 Pleasant Lake Dr, Waterford, MI 48327-3765 | 2016-10-21 |
1447701198 | Progressive Lifestyle Inc | Community/Behavioral Health | 824 Bow Ln, Waterford, MI 48328-4110 | 2016-10-18 |
1073064713 | Progressive Lifestyle Inc | Community/Behavioral Health | 3410 Airport Rd, Waterford, MI 48329-3014 | 2016-10-18 |
1851842512 | Progressive Lifestyle Inc | Community/Behavioral Health | 556 Lochaven Rd, Waterford, MI 48327-3840 | 2016-10-18 |
1932506235 | Adams and Associates Counseling Service | Community/Behavioral Health | 2527 Pontiac Lake Rd, Waterford, MI 48328-2745 | 2014-12-02 |
1235407610 | Peer Choices Inc. | Community/Behavioral Health | 1105 N Telegraph Rd Ste 300, Waterford, MI 48328-2759 | 2011-12-13 |
1477190155 | Jr Brill Inc | Community/Behavioral Health | 4345 Meigs Ave, Waterford, MI 48329-1877 | 2019-12-02 |
Find all providers in WATERFORD |
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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.