In Bloom Behavioral Health Care
Psychologist, Clinical in Staunton, VA. Organization (NPI-2).
NPI number1104053008
StatusActive
Last updated in NPPESJun 18, 2009
Details
- NPI
- 1104053008
- Entity type
- Organization (NPI-2)
- Legal business name
- In Bloom Behavioral Health Care
- Organization subpart
- No
- Enumeration date
- Jun 18, 2009
- Last updated
- Jun 18, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 0015000751 | VA | Yes |
Practice location
15 Terry CtSuite D
Staunton, VA 24401-2568
Phone 540-887-2847 · Fax 540-887-2848
Mailing address
15 Terry CtSuite D
Staunton, VA 24401-2568
Phone 540-887-2847 · Fax 540-887-2848
Authorized official
Cindy H Packer
Owner
5408872847
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