BLOOM BEHAVIORAL HEALTH LLC
NPI 1215702311
Behavior Analyst in Duluth, MN

NPI Status: Active since November 17, 2023

Contact Information

205 W 2ND ST STE 150H
DULUTH, MN
ZIP 55802
Phone: (218) 606-0819

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  • Organization
  • Behavior Analyst

About BLOOM BEHAVIORAL HEALTH LLC

This page provides the complete NPI Profile along with additional information for Bloom Behavioral Health Llc, a provider established in Duluth, Minnesota operating as a Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1215702311 assigned on November 2023. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Bloom Behavioral Health Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Josh Mcilrath (Owner/partner)

NPI
1215702311
Provider Name
BLOOM BEHAVIORAL HEALTH LLC
Entity Type
Organization
Location Address
205 W 2ND ST STE 150H DULUTH, MN 55802
Location Phone
(218) 606-0819
Mailing Address
205 W 2ND ST STE 150H DULUTH, MN 55802
Mailing Phone
(218) 606-0819
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-17-2023
Last Update Date
11-17-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2106S00000XBehavioral Health & Social Service Providers

Behavior Technician

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOSH MCILRATH

Authorized Official Title
OWNER/PARTNER
Authorized Official Phone
(218) 606-0819

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215702311
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2225140432
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 4 + 0 + 4 + 3 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1215702311 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215702311, enumerated in the NPI registry as an "organization" on November 17, 2023

The provider is located at 205 W 2nd St Ste 150h Duluth, Mn 55802 and the phone number is (218) 606-0819

This medical organization specializes in Behavior Analyst with taxonomy code 103K00000X

This NPI record was last updated on November 17, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.