Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BLOOM BEHAVIOR PLLC
NPI 1568386472
Community/Behavioral Health in Chicago, IL

Active since August 05, 2026
4923 N RIDGEWAY AVE APT 2, CHICAGO, IL 60625(815) 342-8932 Get Directions Write a Review

NPPES record added: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 2, 2026, Aug 5, 2026 (2 updates tracked since 2026).

About Bloom Behavior Pllc NPPES

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

BLOOM BEHAVIOR PLLC (NPI 1568386472) is a healthcare organization registered as a community/behavioral health in Chicago, Illinois and active in the NPI registry since August 2026. The organization lists Brianna Campbell, Board-certified Behavior Analyst, as its authorized official.

NPPES Registry Identity

NPI1568386472
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBLOOM BEHAVIOR PLLC
Location Address4923 N RIDGEWAY AVE APT 2Chicago, IL 60625-0926
Mailing Address4923 N Ridgeway Ave Apt 2Chicago, IL 60625-0926 · (815) 342-8932
Organization SubpartNo
Authorized OfficialBrianna CampbellBoard-certified Behavior Analyst · (815) 342-8932
Enumeration DateAugust 5, 2026
Last NPPES UpdateSeptember 2, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
NPI 1568386472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4923 N RIDGEWAY AVE APT 2, Chicago, IL 60625

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 Behavior PLLC's NPI number?

The NPI number for Bloom Behavior PLLC is 1568386472. It was assigned to this organization in the NPPES registry on August 5, 2026.

Where is Bloom Behavior PLLC located?

Bloom Behavior PLLC is located at 4923 N Ridgeway Ave Apt 2, Chicago, IL 60625. The listed phone number is (815) 342-8932.

What is Bloom Behavior PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Bloom Behavior PLLC was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.