Bloom Mental Wellness Center, LLC
NPI 1053270967 · Psychiatric/Mental Health Registered Nurse · Milford, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bloom Mental Wellness Center, LLC is a Psychiatric/Mental Health Registered Nurse organization in Milford, MA (NPI 1053270967).
Provider details
- NPI number
- 1053270967
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Maurine Kisob, Executive Director(508) 297-8603
Specialties & taxonomies
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-01-16
- Last updated
- 2026-02-16
- Certified
- 2026-02-16
Frequently asked questions
- What is Bloom Mental Wellness Center, LLC's NPI number?
- Bloom Mental Wellness Center, LLC's National Provider Identifier (NPI) is 1053270967, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bloom Mental Wellness Center, LLC?
- Bloom Mental Wellness Center, LLC is classified in the NPPES registry as Psychiatric/Mental Health Registered Nurse (Nursing Service Providers).
- Where is Bloom Mental Wellness Center, LLC located?
- Bloom Mental Wellness Center, LLC's practice location on file with NPPES is 208 Main St Ste 110, Milford, MA 01757-2502.
- What is Bloom Mental Wellness Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Bloom Mental Wellness Center, LLC is (508) 297-8603.
- Does Bloom Mental Wellness Center, LLC accept Medicare?
- Bloom Mental Wellness Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bloom Mental Wellness Center, LLC?
- The authorized official listed on Bloom Mental Wellness Center, LLC's NPPES record is Maurine Kisob, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bloom Mental Wellness Center, LLC's NPI active?
- Yes — Bloom Mental Wellness Center, LLC's NPI (1053270967) is active in the NPPES registry as of the last update on 2026-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.