SHADOW BLOOM PSYCHOLOGICAL SERVICES PLLC
NPI 1326924986
Psychologist - Clinical in Brooklyn, NY

Q: What is Shadow Bloom Psychological Services PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since August 11, 2025

44 COURT ST STE 1217, BROOKLYN, NY 11201(646) 632-2324 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Shadow Bloom Psychological Services Pllc NPPES

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

SHADOW BLOOM PSYCHOLOGICAL SERVICES PLLC (NPI 1326924986), doing business as Heathen Health Cole, is a healthcare organization registered as a clinical in Brooklyn, New York and active in the NPI registry since August 2025. The organization lists Mariely Hernandez, Member & Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1326924986

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSHADOW BLOOM PSYCHOLOGICAL SERVICES PLLC

Location Address44 COURT ST STE 1217Brooklyn, NY 11201-4410

Mailing Address44 Court St Ste 1217Brooklyn, NY 11201-4410 · (646) 632-2324

Phone(646) 632-2324

Organization SubpartNo

Authorized OfficialMariely HernandezMember & Clinical Psychologist · (646) 632-2324

Enumeration DateAugust 11, 2025

NPPES CertifiedAugust 11, 2025

✔ NPI 1326924986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

44 COURT ST STE 1217, Brooklyn, NY 11201

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Other Names 1

Doing Business AsHeathen Health Cole

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

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.

MISS SHERMINE SIM LMHC

Counselor (Mental Health)