1. Home
  2. Directory
  3. Massachusetts
  4. Milford
  5. Registered Nurse
  6. NPI Profile

BLOOM MENTAL WELLNESS CENTER, LLC
NPI 1053270967
Registered Nurse - Psychiatric/Mental Health in Milford, MA

Active since January 16, 2026
208 MAIN ST STE 110, MILFORD, MA 01757(508) 297-8603(508) 484-6226 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bloom Mental Wellness Center, Llc NPPES

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

BLOOM MENTAL WELLNESS CENTER, LLC (NPI 1053270967) is a healthcare organization registered as a psychiatric/mental health in Milford, Massachusetts and active in the NPI registry since January 2026. The organization lists Maurine Kisob, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053270967
Entity TypeOrganization
Primary Taxonomy163WP0808X
Legal Business NameBLOOM MENTAL WELLNESS CENTER, LLC
Location Address208 MAIN ST STE 110Milford, MA 01757-2502
Mailing Address208 Main St Ste 110Milford, MA 01757-2502 · (508) 297-8603 · Fax (508) 484-6226
Phone(508) 297-8603
Fax(508) 484-6226
Organization SubpartNo
Authorized OfficialMaurine KisobExecutive Director · (508) 297-8603
Enumeration DateJanuary 16, 2026
Last NPPES UpdateFebruary 16, 2026
NPPES CertifiedFebruary 16, 2026
✔ NPI 1053270967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
208 MAIN ST STE 110, Milford, MA 01757
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bloom Mental Wellness Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bloom Mental Wellness Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Maurine Kisob
Nurse Practitioner
NPI 1841990462
100 CONCORD ST STE 2A&B
Framingham, MA 01702
(508) 817-5041
✔ PECOS11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mental Wellness Center, LLC's NPI number?

The NPI number for Bloom Mental Wellness Center, LLC is 1053270967. It was assigned to this organization in the NPPES registry on January 16, 2026.

Where is Bloom Mental Wellness Center, LLC located?

Bloom Mental Wellness Center, LLC is located at 208 Main St Ste 110, Milford, MA 01757. The listed phone number is (508) 297-8603.

What is Bloom Mental Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Bloom Mental Wellness Center, LLC enrolled in Medicare?

Yes. Bloom Mental Wellness Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bloom Mental Wellness Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bloom Mental Wellness Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bloom Mental Wellness Center, LLC was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.