BLOSSOMING WELLBEING TELEPSYCHIATRY (NPI# 1992319560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992319560 |
| Entity Type | Organization |
| Organization Name | BLOSSOMING WELLBEING TELEPSYCHIATRY |
| Practice Address |
5455 8th St Unit 81 Carpinteria CA 93013-2433 |
| Mailing Address |
9800 4th St N Ste 200 St Petersburg FL 33702-2462 |
| Practice Telephone | 8333990957 |
| Practice Fax Number | 7273351174 |
| Mailing Telephone | 8333990957 |
| Mailing Fax Number | 7273351174 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | LA TASHA AL-JARBOUA (OWNER/CEO) |
| Authorized Official Telephone | 3042378733 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
5455 8TH ST UNIT 81 |
| City | CARPINTERIA |
| State | CA |
| Zip Code | 93013-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407312689 | 4 Kids 2 Kids | Psychiatric Residential Treatment Facility | 1483 Alva Street, Capinteria, CA 93013 | 2019-02-13 |
| 1396084265 | Armin Rapaport | Anesthesiology | 1940 Paquita Drive, Carpinteria, CA 93013 | 2013-02-12 |
| 1336449024 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 1018 Casitas Pass Rd, Carpinteria, CA 93013 | 2010-10-27 |
| 1396913430 | Christian Norbert Issels | Allergy & Immunology | 5464 Carpinteria Avenue, Carpinteria, CA 93013 | 2008-02-12 |
| 1477738490 | The Council On Alcoholism and Drug | Case Management | 4810 Foolhill Road, Carpinteria, CA 93013 | 2008-01-09 |
| 1992847966 | Danielle Yvette Hernandez | Marriage & Family Therapist | 1722 South Lewis Road, Camarillo, CA 93013 | 2007-02-13 |
| 1891773917 | Freudenberg Medical LLC | Durable Medical Equipment & Medical Supplies | 1110 Mark Avenue, Carpinteria, CA 93013 | 2006-01-09 |
| 1720571581 | 805 Angels LLC | Technician | 5565 Carpinteria Ave, Ste 1, Carpinteria, CA 93013 | 2018-06-07 |
| 1053792382 | Albertsons LLC | Pharmacist | 1018 Casitas Pass Rd, Carpinteria, CA 93013 | 2015-06-11 |
| 1568684488 | Lynn Harold Bunting | Marriage & Family Therapist | 4155 Venice Lane, Carpinteria, CA 93013-1209 | 2007-05-02 |
| Find all providers in zip 93013 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962028936 | Sal Psychiatry Services | Psychiatry & Neurology | 13132 Studebaker Rd Ste 7, Norwalk, CA 90650-2562 | 2020-06-24 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1609431014 | Vaya Addiction Services | Psychiatry & Neurology | 945 University Ave Ste 101, Sacramento, CA 95825-6712 | 2019-05-01 |
| 1174081327 | Bacchus, Moghaddam, Musngi, Shwayder Medical Corp. | Psychiatry & Neurology | 6801 Park Ter # 530b, Los Angeles, CA 90045-1543 | 2019-03-06 |
| 1104330570 | Integrated Psychiatry, Inc. | Psychiatry & Neurology | 25000 Avenue Stanford Ste 173, Valencia, CA 91355-4596 | 2017-11-21 |
| 1740689694 | Mind & Body Treatment and Research Institute, PC | Psychiatry & Neurology | 5700 Division St, 200, Riverside, CA 92506-3257 | 2014-08-16 |
| 1619311206 | Margaret Barnett Yates | Psychiatry & Neurology | 13847 W Sunset Blvd, Pacific Palisades, CA 90272-4023 | 2013-04-25 |
| 1750645743 | Stefani Lafrenierre | Psychiatry & Neurology | 215 S Hickory St Ste 114, Escondido, CA 92025-4360 | 2012-06-25 |
| 1083977201 | Archangel De Leon | Psychiatry & Neurology | 7466 Sun Castle Ln, Sacramento, CA 95823-6734 | 2012-06-21 |
| 1538420997 | Laura Elaine Adler | Psychiatry & Neurology | 39800 Portola Ave, Palm Desert, CA 92260-0620 | 2012-06-01 |
| Find all providers with the same taxonomy | ||||
| City | CARPINTERIA |
| Zip Code | 93013 |
Please comment or provide details below to improve the information on BLOSSOMING WELLBEING TELEPSYCHIATRY.
| 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.