Blooming Integrative Psychiatry
NPI 1417812587 · Psychiatry Physician · Canyon Lake, CA
Blooming Integrative Psychiatry is a Psychiatry Physician organization in Canyon Lake, CA (NPI 1417812587).
Provider details
- NPI number
- 1417812587
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Hannah Fraley, Ceo(951) 387-0782
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
- 2025-12-19
- Last updated
- 2025-12-19
- Certified
- 2025-12-19
Frequently asked questions
- What is Blooming Integrative Psychiatry's NPI number?
- Blooming Integrative Psychiatry's National Provider Identifier (NPI) is 1417812587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blooming Integrative Psychiatry?
- Blooming Integrative Psychiatry is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Blooming Integrative Psychiatry located?
- Blooming Integrative Psychiatry's practice location on file with NPPES is 23283 Canyon Lake Dr S, Canyon Lake, CA 92587-7598.
- What is Blooming Integrative Psychiatry's phone number?
- The practice phone number listed in the NPPES registry for Blooming Integrative Psychiatry is (951) 387-0782.
- Who is the authorized official for Blooming Integrative Psychiatry?
- The authorized official listed on Blooming Integrative Psychiatry's NPPES record is Hannah Fraley, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blooming Integrative Psychiatry's NPI active?
- Yes — Blooming Integrative Psychiatry's NPI (1417812587) is active in the NPPES registry as of the last update on 2025-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.