OrganizationActive
Bloom Mental Wellness
NPI 1508705229 · Psychiatric/Mental Health Nurse Practitioner · American Fork, UT
Provider details
- NPI number
- 1508705229
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Carissa Robinson, Owner/Provider(801) 358-8661
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
57 N 490 W
American Fork, UT 84003-2264
Phone: (801) 421-3925
Approximate (ZIP-level) locationGet directions
Mailing address
57 N 490 W
American Fork, UT 84003-2264
Registry dates
- Enumerated
- 2026-03-27
- Last updated
- 2026-04-03
- Certified
- 2026-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.