| Bloom & Build, Center For Reproductive & Integrative Psychiatry, Inc. | |
|
1760 The Alameda Ste 100 San Jose CA 95126-1728 | |
| (408) 800-1363 | |
| Not Available |
| Full Name | Bloom & Build, Center For Reproductive & Integrative Psychiatry, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1760 The Alameda Ste 100, San Jose, California |
| Authorized Official Name and Position | Alecia Lanette Greenlee (FOUNDER AND CEO) |
| Authorized Official Contact | 4088001519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom & Build, Center For Reproductive & Integrative Psychiatry, Inc. 500 E Hamilton Ave # 1020 Campbell CA 95008-0210 Ph: (916) 549-4392 | Bloom & Build, Center For Reproductive & Integrative Psychiatry, Inc. 1760 The Alameda Ste 100 San Jose CA 95126-1728 Ph: (408) 800-1363 |
| NPI Number | 1912737198 |
|---|---|
| Provider Enumeration Date | 08/03/2024 |
| Last Update Date | 08/03/2024 |
| Certification Date | 04/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912737198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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