Blossoming Minds Psychological Services, LLC
NPI 1649037730 · Psychologist · Fishers, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blossoming Minds Psychological Services, LLC is a Psychologist organization in Fishers, IN (NPI 1649037730).
Provider details
- NPI number
- 1649037730
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Christine Liedtke, Owner(317) 967-4099
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs 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
Mailing address
Registry dates
- Enumerated
- 2024-03-05
- Last updated
- 2024-03-05
- Certified
- 2024-03-05
Frequently asked questions
- What is Blossoming Minds Psychological Services, LLC's NPI number?
- Blossoming Minds Psychological Services, LLC's National Provider Identifier (NPI) is 1649037730, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blossoming Minds Psychological Services, LLC?
- Blossoming Minds Psychological Services, LLC is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Blossoming Minds Psychological Services, LLC located?
- Blossoming Minds Psychological Services, LLC's practice location on file with NPPES is 14074 Trade Center Dr Ste 208, Fishers, IN 46038-4574.
- What is Blossoming Minds Psychological Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Blossoming Minds Psychological Services, LLC is (317) 967-4099.
- Does Blossoming Minds Psychological Services, LLC accept Medicare?
- Blossoming Minds Psychological Services, 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 Blossoming Minds Psychological Services, LLC?
- The authorized official listed on Blossoming Minds Psychological Services, LLC's NPPES record is Christine Liedtke, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blossoming Minds Psychological Services, LLC's NPI active?
- Yes — Blossoming Minds Psychological Services, LLC's NPI (1649037730) is active in the NPPES registry as of the last update on 2024-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.