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BLOOM HARBOR PSYCHIATRY, LLC
NPI 1740121896
Nurse Practitioner - Psychiatric/Mental Health in Churchville, MD

Active since April 02, 2026
3024 LEVEL RD, CHURCHVILLE, MD 21028(410) 688-1908 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bloom Harbor Psychiatry, Llc NPPES

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

BLOOM HARBOR PSYCHIATRY, LLC (NPI 1740121896) is a healthcare organization registered as a psychiatric/mental health in Churchville, Maryland and active in the NPI registry since April 2026. The organization lists Amanda Mae Dinges, Crnp, as its authorized official.

NPPES Registry Identity

NPI1740121896
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBLOOM HARBOR PSYCHIATRY, LLC
Location Address3024 LEVEL RDChurchville, MD 21028-1409
Mailing Address3024 Level RdChurchville, MD 21028-1409 · (410) 498-7403 · Fax (443) 596-0646
Phone(410) 688-1908
Organization SubpartNo
Authorized OfficialAmanda Mae DingesCrnp · (410) 498-7403
Enumeration DateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1740121896 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
3024 LEVEL RD, Churchville, MD 21028
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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

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 Harbor Psychiatry, LLC's NPI number?

The NPI number for Bloom Harbor Psychiatry, LLC is 1740121896. It was assigned to this organization in the NPPES registry on April 2, 2026.

Where is Bloom Harbor Psychiatry, LLC located?

Bloom Harbor Psychiatry, LLC is located at 3024 Level Rd, Churchville, MD 21028. The listed phone number is (410) 688-1908.

What is Bloom Harbor Psychiatry, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Bloom Harbor Psychiatry, LLC was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.