Innerbloom Mental Health Clinics LLC
NPI 1104792787 · Psychiatric/Mental Health Nurse Practitioner · Waldorf, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innerbloom Mental Health Clinics LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Waldorf, MD (NPI 1104792787).
Provider details
- NPI number
- 1104792787
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Rahmot Raji, Authorized Official(240) 421-4164
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing 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
- 2025-10-13
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Frequently asked questions
- What is Innerbloom Mental Health Clinics LLC's NPI number?
- Innerbloom Mental Health Clinics LLC's National Provider Identifier (NPI) is 1104792787, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innerbloom Mental Health Clinics LLC?
- Innerbloom Mental Health Clinics LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Innerbloom Mental Health Clinics LLC located?
- Innerbloom Mental Health Clinics LLC's practice location on file with NPPES is 3460 Old Washington Rd Ste 203a, Waldorf, MD 20602-3243.
- What is Innerbloom Mental Health Clinics LLC's phone number?
- The practice phone number listed in the NPPES registry for Innerbloom Mental Health Clinics LLC is (240) 421-4164.
- Does Innerbloom Mental Health Clinics LLC accept Medicare?
- Innerbloom Mental Health Clinics 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 Innerbloom Mental Health Clinics LLC?
- The authorized official listed on Innerbloom Mental Health Clinics LLC's NPPES record is Rahmot Raji, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innerbloom Mental Health Clinics LLC's NPI active?
- Yes — Innerbloom Mental Health Clinics LLC's NPI (1104792787) is active in the NPPES registry as of the last update on 2025-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.