OrganizationActive
Bloom Behavioral Network
NPI 1205723335 · Early Intervention Provider Agency · Saint Paul, MN
Bloom Behavioral Network is a Early Intervention Provider Agency organization in Saint Paul, MN (NPI 1205723335).
Provider details
- NPI number
- 1205723335
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Habone Moussa, Owner(612) 424-2251
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
519 University Ave W Ste 100
Saint Paul, MN 55103-2162
Phone: (612) 417-3206
Street-level locationGet directions
Mailing address
8613 Platinum Cv
Woodbury, MN 55129-7559
Registry dates
- Enumerated
- 2025-06-20
- Last updated
- 2025-07-15
- Certified
- 2025-07-15
Frequently asked questions
- What is Bloom Behavioral Network's NPI number?
- Bloom Behavioral Network's National Provider Identifier (NPI) is 1205723335, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bloom Behavioral Network?
- Bloom Behavioral Network is classified in the NPPES registry as Early Intervention Provider Agency (Agencies).
- Where is Bloom Behavioral Network located?
- Bloom Behavioral Network's practice location on file with NPPES is 519 University Ave W Ste 100, Saint Paul, MN 55103-2162.
- What is Bloom Behavioral Network's phone number?
- The practice phone number listed in the NPPES registry for Bloom Behavioral Network is (612) 417-3206.
- Who is the authorized official for Bloom Behavioral Network?
- The authorized official listed on Bloom Behavioral Network's NPPES record is Habone Moussa, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bloom Behavioral Network's NPI active?
- Yes — Bloom Behavioral Network's NPI (1205723335) is active in the NPPES registry as of the last update on 2025-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.