BLOOM PSYCH SERVICES LLC - NPI 1760055826 - Psychiatry & Neurology in Stratford, CT

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084B0040X and a focus in Behavioral Neurology & Neuropsychiatry.

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About Bloom Psych Services Llc NPPES

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

BLOOM PSYCH SERVICES LLC (NPI 1760055826) is a healthcare organization registered as a behavioral neurology & neuropsychiatry in Stratford, Connecticut and active in the NPI registry since July 2021. The organization lists Ananthakumar Thillainathan, Owner, as its authorized official.

NPPES Registry Identity

NPI1760055826

Entity TypeOrganization

Primary Taxonomy2084B0040X

Legal Business NameBLOOM PSYCH SERVICES LLC

Location Address3000 MAIN STStratford, CT 06614-4939

Mailing Address3000 Main StStratford, CT 06614-4939 · (203) 683-0625

Phone(203) 683-0625

Organization SubpartNo

Authorized OfficialAnanthakumar ThillainathanOwner · (203) 683-0625

Enumeration DateJuly 19, 2021

Last NPPES UpdateAugust 17, 20212 updates tracked since enumeration

NPPES CertifiedAugust 17, 2021

✔ NPI 1760055826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084B0040X

Definition

Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X

3000 MAIN ST, Stratford, CT 06614

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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANANTHAKUMAR THILLAINATHAN MD

Internal Medicine