1. Home
  2. Directory
  3. Utah
  4. Sandy
  5. Clinic Center
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

BLOOM THERAPEUTICS PLLC
NPI 1164342879
Clinic/Center - Mental Health (Including Community Mental Health Center) in Sandy, UT

Active since July 21, 2026
1782 E MOMBO DR, SANDY, UT 84092(801) 455-4667 Get Directions Write a Review

NPPES record added: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bloom Therapeutics Pllc NPPES

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

BLOOM THERAPEUTICS PLLC (NPI 1164342879) is a healthcare organization registered as a mental health (including community mental health center) in Sandy, Utah and active in the NPI registry since July 2026. The organization lists Maran Bloomingdale, Owner, as its authorized official.

NPPES Registry Identity

NPI1164342879
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBLOOM THERAPEUTICS PLLC
Location Address1782 E MOMBO DRSandy, UT 84092-3016
Mailing Address1782 E Mombo DrSandy, UT 84092-3016 · (801) 455-4667
Phone(801) 455-4667
Organization SubpartNo
Authorized OfficialMaran BloomingdaleOwner · (801) 455-4667
Enumeration DateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
✔ NPI 1164342879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1782 E MOMBO DR, Sandy, UT 84092
Open in Google Maps ↗

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 Therapeutics PLLC's NPI number?

The NPI number for Bloom Therapeutics PLLC is 1164342879. It was assigned to this organization in the NPPES registry on July 21, 2026.

Where is Bloom Therapeutics PLLC located?

Bloom Therapeutics PLLC is located at 1782 E Mombo Dr, Sandy, UT 84092. The listed phone number is (801) 455-4667.

What is Bloom Therapeutics PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Bloom Therapeutics PLLC was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.