NEUROBLOOM PSYCHIATRY, PLLC
NPI 1366238354
Nurse Practitioner - Psychiatric/Mental Health in Bristol, TN

Active since April 16, 2025
1389 VOLUNTEER PKWY, BRISTOL, TN 37620(423) 444-0848 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Neurobloom Psychiatry, Pllc NPPES

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

NEUROBLOOM PSYCHIATRY, PLLC (NPI 1366238354) is a healthcare organization registered as a psychiatric/mental health in Bristol, Tennessee and active in the NPI registry since April 2025. The organization lists Whitley Wright, Founder, as its authorized official.

NPPES Registry Identity

NPI1366238354
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameNEUROBLOOM PSYCHIATRY, PLLC
Location Address1389 VOLUNTEER PKWYBristol, TN 37620-5709
Mailing Address1389 Volunteer PkwyBristol, TN 37620-5709
Organization SubpartNo
Authorized OfficialWhitley WrightFounder · (276) 591-9388
Enumeration DateApril 16, 2025
Last NPPES UpdateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
✔ NPI 1366238354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1389 VOLUNTEER PKWY, Bristol, TN 37620

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)

Neurobloom Psychiatry, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Neurobloom Psychiatry, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1285308239
1389 VOLUNTEER PKWY
Bristol, TN 37620
(423) 444-0848
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1891628087
1389 VOLUNTEER PKWY
Bristol, TN 37620
(423) 444-0848
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1396471223
1389 VOLUNTEER PKWY
Bristol, TN 37620
(423) 444-0848
✔ PECOS✔ Accepts MedicareSame address

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 Neurobloom Psychiatry, PLLC's NPI number?

The NPI number for Neurobloom Psychiatry, PLLC is 1366238354. It was assigned to this organization in the NPPES registry on April 16, 2025.

Where is Neurobloom Psychiatry, PLLC located?

Neurobloom Psychiatry, PLLC is located at 1389 Volunteer Pkwy, Bristol, TN 37620. The listed phone number is (423) 444-0848.

What is Neurobloom Psychiatry, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Neurobloom Psychiatry, PLLC enrolled in Medicare?

Yes. Neurobloom Psychiatry, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Neurobloom Psychiatry, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Neurobloom Psychiatry, PLLC. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Neurobloom Psychiatry, PLLC was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.