BLOSSOM INTEGRATED HEALTH AND BEHAVIORAL SERVICES LLC
NPI 1851081095
Psychiatry & Neurology - Psychiatry in Hagerstown, MD

Q: What is Blossom Integrated Health And Behavioral Services LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since May 10, 2023

338 MILL ST, HAGERSTOWN, MD 21740(240) 347-4494(240) 347-4495 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 26, 2024, May 10, 2023 (2 updates tracked since 2023).

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About Blossom Integrated Health And Behavioral Services Llc NPPES

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

BLOSSOM INTEGRATED HEALTH AND BEHAVIORAL SERVICES LLC (NPI 1851081095) is a healthcare organization registered as a psychiatry in Hagerstown, Maryland and active in the NPI registry since May 2023. The organization lists Ihuoma Marvelous Udeagha, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1851081095

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameBLOSSOM INTEGRATED HEALTH AND BEHAVIORAL SERVICES LLC

Location Address338 MILL STHagerstown, MD 21740-6138

Mailing Address338 Mill StHagerstown, MD 21740-6138 · (340) 347-4494 · Fax (240) 347-4495

Phone(240) 347-4494

Fax(240) 347-4495

Organization SubpartNo

Authorized OfficialIhuoma Marvelous UdeaghaChief Executive Officer · (240) 490-4242

Enumeration DateMay 10, 2023

Last NPPES UpdateApril 26, 20242 updates tracked since enumeration

NPPES CertifiedApril 26, 2024

✔ NPI 1851081095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedClinic/CenterTaxonomy 261Q00000X

338 MILL ST, Hagerstown, MD 21740

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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)

Blossom Integrated Health And Behavioral Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Blossom Integrated Health And Behavioral Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ihuoma Udeagha, DNP, FNP-C, PMHNP-BC

Nurse Practitioner

NPI 1649828633

WEST VIRGINIA UNIVERSITY MEDICINE BRAIN & SPINE 13 WESTERN MARYLAND PARKWAY, STE 106
Hagerstown, MD 21740

(304) 596-5178

✔ PECOS✔ Accepts Medicare3.3 mi

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 Blossom Integrated Health And Behavioral Services LLC's NPI number?

The NPI number for Blossom Integrated Health And Behavioral Services LLC is 1851081095. It was assigned to this organization in the NPPES registry on May 10, 2023.

Where is Blossom Integrated Health And Behavioral Services LLC located?

Blossom Integrated Health And Behavioral Services LLC is located at 338 Mill St, Hagerstown, MD 21740. The listed phone number is (240) 347-4494.

What is Blossom Integrated Health And Behavioral Services LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Blossom Integrated Health And Behavioral Services LLC enrolled in Medicare?

Yes. Blossom Integrated Health And Behavioral Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blossom Integrated Health And Behavioral Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Blossom Integrated Health And Behavioral Services LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Blossom Integrated Health And Behavioral Services LLC was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.