OrganizationActive
Neuro Bloom Therapy
NPI 1104617133 · Community/Behavioral Health Agency · St Louis Park, MN
Neuro Bloom Therapy is a Community/Behavioral Health Agency organization in St Louis Park, MN (NPI 1104617133).
Provider details
- NPI number
- 1104617133
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Efrah Mohamed, Director(404) 932-9111
Specialties & taxonomies
Agencies
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES 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
4100 Excelsior Blvd Ste 50
St Louis Park, MN 55416-4727
Phone: (612) 416-7520
Street-level locationGet directions
Mailing address
4100 Excelsior Blvd Ste 50
St Louis Park, MN 55416-4727
Registry dates
- Enumerated
- 2025-05-16
- Last updated
- 2026-05-12
- Certified
- 2026-05-12
Frequently asked questions
- What is Neuro Bloom Therapy's NPI number?
- Neuro Bloom Therapy's National Provider Identifier (NPI) is 1104617133, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Neuro Bloom Therapy?
- Neuro Bloom Therapy is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Neuro Bloom Therapy located?
- Neuro Bloom Therapy's practice location on file with NPPES is 4100 Excelsior Blvd Ste 50, St Louis Park, MN 55416-4727.
- What is Neuro Bloom Therapy's phone number?
- The practice phone number listed in the NPPES registry for Neuro Bloom Therapy is (612) 416-7520.
- Who is the authorized official for Neuro Bloom Therapy?
- The authorized official listed on Neuro Bloom Therapy's NPPES record is Efrah Mohamed, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Neuro Bloom Therapy's NPI active?
- Yes — Neuro Bloom Therapy's NPI (1104617133) is active in the NPPES registry as of the last update on 2026-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.