1. Home
  2. Directory
  3. Indiana
  4. Bloomington
  5. Clinic Center
  6. NPI Profile

BLOOMINGTON NEUROFEEDBACK
NPI 1710585997
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bloomington, IN

Active since October 11, 2020
1905 S LIBERTY DR, BLOOMINGTON, IN 47403(812) 668-6220(812) 668-6225 Get Directions Write a Review

NPPES record last updated: October 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bloomington Neurofeedback NPPES

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

BLOOMINGTON NEUROFEEDBACK (NPI 1710585997) is a healthcare organization registered as a mental health (including community mental health center) in Bloomington, Indiana and active in the NPI registry since October 2020. The organization lists Rhonda Souder, Owner, as its authorized official.

NPPES Registry Identity

NPI1710585997
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBLOOMINGTON NEUROFEEDBACK
Location Address1905 S LIBERTY DRBloomington, IN 47403-5146
Mailing Address1905 S Liberty DrBloomington, IN 47403-5146 · (812) 688-6220 · Fax (812) 668-6225
Phone(812) 668-6220
Fax(812) 668-6225
Organization SubpartNo
Authorized OfficialRhonda SouderOwner · (502) 232-0405
Enumeration DateOctober 11, 2020
NPPES CertifiedOctober 11, 2020
✔ NPI 1710585997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1905 S LIBERTY DR, Bloomington, IN 47403
Open in Google Maps ↗

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 Bloomington Neurofeedback's NPI number?

The NPI number for Bloomington Neurofeedback is 1710585997. It was assigned to this organization in the NPPES registry on October 11, 2020.

Where is Bloomington Neurofeedback located?

Bloomington Neurofeedback is located at 1905 S Liberty Dr, Bloomington, IN 47403. The listed phone number is (812) 668-6220.

What is Bloomington Neurofeedback's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Bloomington Neurofeedback was last updated on October 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.