BLOSSOM WHOLE FAMILY THERAPY & CHILD PSYCHOLOGY CENTER, PLLC
NPI 1194059642
Clinic/Center - Adolescent and Children Mental Health in Minnetonka, MN

Q: What is Blossom Whole Family Therapy & Child Psychology Center, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Active since September 30, 2009

10505 WAYZATA BLVD STE 103, MINNETONKA, MN 55305(952) 545-3300(952) 545-3300 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2023, Jan 10, 2017 (2 updates tracked since 2017).

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About Blossom Whole Family Therapy & Child Psychology Center, Pllc NPPES

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

BLOSSOM WHOLE FAMILY THERAPY & CHILD PSYCHOLOGY CENTER, PLLC (NPI 1194059642), doing business as Blossom Child Psychology & Behavioral Health Center, Pllc, is a healthcare organization registered as an adolescent and children mental health in Minnetonka, Minnesota and active in the NPI registry since September 2009. The organization lists Gretchen Lewis-snyder, Chief Manager/psychologist, as its authorized official.

NPPES Registry Identity

NPI1194059642

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameBLOSSOM WHOLE FAMILY THERAPY & CHILD PSYCHOLOGY CENTER, PLLC

Location Address10505 WAYZATA BLVD STE 103Minnetonka, MN 55305-1507

Mailing Address10505 Wayzata Blvd Ste 103Minnetonka, MN 55305-1507 · (952) 545-3300 · Fax (952) 545-3300

Phone(952) 545-3300

Fax(952) 545-3300

Organization SubpartNo

Authorized OfficialGretchen Lewis-snyderChief Manager/psychologist · (612) 719-5422

Enumeration DateSeptember 30, 2009

Last NPPES UpdateAugust 28, 20232 updates tracked since enumeration

NPPES CertifiedAugust 28, 2023

✔ NPI 1194059642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

License✔ Licensed in MN · LP4976

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License LP4976 (MN)

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License LP4976 (MN)

10505 WAYZATA BLVD STE 103, Minnetonka, MN 55305

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Other Names 1

Former Legal Business NameBlossom Child Psychology & Behavioral Health Center, Pllc

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 HealthPartners.Insurance ›

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 Blossom Whole Family Therapy & Child Psychology Center, PLLC's NPI number?

The NPI number for Blossom Whole Family Therapy & Child Psychology Center, PLLC is 1194059642. It was assigned to this organization in the NPPES registry on September 30, 2009. The provider was formerly known as Blossom Child Psychology & Behavioral Health Center, PLLC.

Where is Blossom Whole Family Therapy & Child Psychology Center, PLLC located?

Blossom Whole Family Therapy & Child Psychology Center, PLLC is located at 10505 Wayzata Blvd Ste 103, Minnetonka, MN 55305. The listed phone number is (952) 545-3300.

What is Blossom Whole Family Therapy & Child Psychology Center, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

What insurance does Blossom Whole Family Therapy & Child Psychology Center, PLLC accept?

Health plans from HealthPartners list Blossom Whole Family Therapy & Child Psychology Center, PLLC 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 Blossom Whole Family Therapy & Child Psychology Center, PLLC was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.