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BLOOM PSYCHIATRIC, LLC
NPI 1023684024
Nurse Practitioner - Psychiatric/Mental Health in Vancouver, WA

Active since June 01, 2021
4400 NE 77TH AVE STE 275, VANCOUVER, WA 98662(971) 813-9093 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bloom Psychiatric, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOOM PSYCHIATRIC, LLC (NPI 1023684024) is a healthcare organization registered as a psychiatric/mental health in Vancouver, Washington and active in the NPI registry since June 2021. The organization lists Tiffany Terry, Owner, as its authorized official.

NPPES Registry Identity

NPI1023684024
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBLOOM PSYCHIATRIC, LLC
Location Address4400 NE 77TH AVE STE 275Vancouver, WA 98662-6857
Mailing Address4400 Ne 77th Ave Ste 275Vancouver, WA 98662-6857 · (971) 813-9093
Phone(971) 813-9093
Organization SubpartNo
Authorized OfficialTiffany TerryOwner · (971) 813-9093
Enumeration DateJune 1, 2021
NPPES CertifiedJune 1, 2021
✔ NPI 1023684024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
4400 NE 77TH AVE STE 275, Vancouver, WA 98662
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MICHELLE A NEWTON LMHC, MA-MFT, CMHS
Counselor (Mental Health)
4400 NE 77TH AVE STE 275
VANCOUVER, WA 98662
Clark County (360) 487-0856
ASPIRE BEHAVIORAL HEALTH COUNSELING SERVICES CO
Counselor (Mental Health)
4400 NE 77TH AVE STE 275
VANCOUVER, WA 98662
Clark County (360) 487-0856
MRS. JOY PERRYMAN
Marriage & Family Therapist
4400 NE 77TH AVE STE 275
VANCOUVER, WA 98662
Clark County (360) 903-8101
AQUA PSYCH PLLC
Nurse Practitioner (Psychiatric/Mental Health)
4400 NE 77TH AVE STE 275
VANCOUVER, WA 98662
Clark County (564) 225-2625
NADINE A SMITH NP
Nurse Practitioner (Psychiatric/Mental Health)
4400 NE 77TH AVE STE 275
VANCOUVER, WA 98662
Clark County (360) 567-8466
KARLA JANETTE NOLTE LMT
Massage Therapist
4400 NE 77TH AVE STE 275
VANCOUVER, WA 98662
Clark County (360) 768-4400
MR. BLAKE GREGORY FREY MA
Counselor (Mental Health)
4400 NE 77TH AVE STE 275
VANCOUVER, WA 98662
Clark County (360) 685-1597
UNITED SLEEP APNEA SERVICES
Clinic/Center (Sleep Disorder Diagnostic)
4400 NE 77TH AVE STE 275
VANCOUVER, WA 98662
Clark County (888) 212-8379

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bloom Psychiatric, LLC's NPI number?

The NPI number for Bloom Psychiatric, LLC is 1023684024. It was assigned to this organization in the NPPES registry on June 1, 2021.

Where is Bloom Psychiatric, LLC located?

Bloom Psychiatric, LLC is located at 4400 NE 77th Ave Ste 275, Vancouver, WA 98662. The listed phone number is (971) 813-9093.

What is Bloom Psychiatric, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Bloom Psychiatric, LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Bloom Psychiatric, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bloom Psychiatric, LLC was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.