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

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: July 19, 2026.

  • Organization
  • Psychologist
  • Clinical

About SHADOW BLOOM PSYCHOLOGICAL SERVICES PLLC

This page provides the complete NPI Profile along with additional information for Shadow Bloom Psychological Services Pllc, a provider established in Brooklyn, New York operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1326924986 assigned on August 2025. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Mariely Hernandez Phd (Member & Clinical Psychologist)

NPI
1326924986 Verify this NPI
Provider Name
SHADOW BLOOM PSYCHOLOGICAL SERVICES PLLC
Entity Type
Organization
Location Address
44 COURT ST STE 1217 BROOKLYN, NY 11201
Location Phone
(646) 632-2324
Mailing Address
44 COURT ST STE 1217 BROOKLYN, NY 11201
Mailing Phone
(646) 632-2324
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-11-2025
Last Update Date
08-11-2025
Code Navigator

A clinical psychologist like Shadow Bloom Psychological Services Pllc assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARIELY HERNANDEZ PHD

Authorized Official Title
MEMBER & CLINICAL PSYCHOLOGIST
Authorized Official Phone
(646) 632-2324

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Contractor
44 COURT ST STE 1217
BROOKLYN, NY 11201
Specialist
44 COURT ST STE 1217
BROOKLYN, NY 11201
Specialist
44 COURT ST STE 1217
BROOKLYN, NY 11201
Counselor (Mental Health)
44 COURT ST STE 1217
BROOKLYN, NY 11201
Specialist
44 COURT ST STE 1217
BROOKLYN, NY 11201
Specialist
44 COURT ST STE 1217
BROOKLYN, NY 11201
Early Intervention Provider Agency
44 COURT ST STE 1217
BROOKLYN, NY 11201
Specialist
44 COURT ST STE 1217
BROOKLYN, NY 11201
Specialist
44 COURT ST STE 1217
BROOKLYN, NY 11201
Specialist
44 COURT ST STE 1217
BROOKLYN, NY 11201
Counselor (Mental Health)
44 COURT ST STE 1217
BROOKLYN, NY 11201
Early Intervention Provider Agency
44 COURT ST STE 1217
BROOKLYN, NY 11201
Specialist
44 COURT ST STE 1217
BROOKLYN, NY 11201
Specialist
44 COURT ST STE 1217
BROOKLYN, NY 11201
Speech-Language Pathologist
44 COURT ST STE 1217
BROOKLYN, NY 11201
Early Intervention Provider Agency
44 COURT ST STE 1217
BROOKLYN, NY 11201
Occupational Therapist
44 COURT ST STE 1217
BROOKLYN, NY 11201
Early Intervention Provider Agency
44 COURT ST STE 1217
BROOKLYN, NY 11201
Specialist
44 COURT ST STE 1217
BROOKLYN, NY 11201
Specialist
44 COURT ST STE 1217
BROOKLYN, NY 11201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326924986, enumerated as an "organization" on August 11, 2025.

The provider is located at 44 COURT ST STE 1217 BROOKLYN, NY 11201 and the phone number is (646) 632-2324.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.