CAITLIN BLOOM
NPI 1255791620
Behavior Technician in Fargo, ND
NPI Status: Active since February 29, 2016
Contact Information
3401 45TH ST S STE A
FARGO, ND
ZIP 58104
Phone: (701) 356-4384
Fax: (701) 356-4383
- Individual
- Female
- Behavior Technician
About CAITLIN BLOOM
This page provides the complete NPI Profile along with additional information for Caitlin Bloom, a provider established in Fargo, North Dakota with a medical specialization in Behavior Technician. The healthcare provider is registered in the NPI registry with number 1255791620 assigned on February 2016. The practitioner's primary taxonomy code is 106S00000X. The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1255791620
- Provider Name
- CAITLIN BLOOM
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3401 45TH ST S STE A FARGO, ND 58104
- Location Phone
- (701) 356-4384
- Location Fax
- (701) 356-4383
- Mailing Address
- 3401 45TH ST S STE A FARGO, ND 58104
- Mailing Phone
- (701) 356-4384
- Mailing Fax
- (701) 356-4383
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-29-2016
- Last Update Date
- 07-26-2018
- Code Navigator
Location Map
Secondary Locations
- 891 Belsly Blvd
Moorhead, MN 56560
(218) 287-4338
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 Technician
- Taxonomy Code
- 106S00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
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) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1462276 | MEDICAID (05) | ND |
Reviews for CAITLIN BLOOM
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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. | |||||||||
| 1 | 2 | 5 | 5 | 7 | 9 | 1 | 6 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 14 | 9 | 2 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 4 + 9 + 2 + 6 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1255791620 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720599079 | BROOKE MICHELLE SCHALEY Individual | Occupational Therapy Assistant | 3401 45TH ST S STE A FARGO, ND 58104 (701) 356-4384 |
| 1073883773 | JAMIE ANDERSON LAPC Individual | Counselor (Professional) | 3401 45TH ST S STE A FARGO, ND 58104 (013) 564-3847 |
| 1699265298 | HAILEY A TOLLEFSON Individual | Occupational Therapist | 3401 45TH ST S STE A FARGO, ND 58104 (701) 356-4384 |
| 1104304195 | BRIA DAVIS Individual | Behavior Technician | 3401 45TH ST S STE A FARGO, ND 58104 (701) 356-4384 |
| 1366841421 | JOELY DAVIDSON LPCC Individual | Counselor (Mental Health) | 3401 45TH ST S STE A FARGO, ND 58104 (701) 356-4384 |
| 1902380835 | SHELBY BAKER Individual | Behavior Technician | 3401 45TH ST S STE A FARGO, ND 58104 (701) 356-4384 |
| 1437633591 | MARIA LUCIO Individual | Behavior Technician | 3401 45TH ST S STE A FARGO, ND 58104 (701) 356-4384 |
| 1023584919 | KRYSTA RONNING Individual | Behavior Technician | 3401 45TH ST S STE A FARGO, ND 58104 (701) 356-4384 |
| 1265901573 | ANDREA SCHULER M.ED. Individual | Case Manager/Care Coordinator | 3401 45TH ST S STE A FARGO, ND 58104 (701) 356-4384 |
| 1093288631 | EDWINA OPARA Individual | Behavior Technician | 3401 45TH ST S STE A FARGO, ND 58104 (701) 356-4384 |
| 1053976035 | MELISSA EVANS Individual | Behavior Technician | 3401 45TH ST S STE A FARGO, ND 58104 (701) 356-4384 |
| 1881725828 | JAMIE L WENDT BARNETT LPCC Individual | Counselor (Professional) | 3401 45TH ST S STE A FARGO, ND 58104 (701) 356-4384 |
| 1649839903 | MELISSA GROTH Individual | Occupational Therapist | 3401 45TH ST S STE A FARGO, ND 58104 (701) 356-4384 |
| 1386203198 | SUMMER PETERICK Individual | Specialist/Technologist (Speech-Language Assistant) | 3401 45TH ST S STE A FARGO, ND 58104 (701) 356-4384 |
| 1053969881 | JAMIE HANSEN COTA Individual | Occupational Therapy Assistant | 3401 45TH ST S STE A FARGO, ND 58104 (701) 356-4384 |
| 1528616356 | DANIELLE PETERSON RBT Individual | Behavior Technician | 3401 45TH ST S STE A FARGO, ND 58104 (701) 356-4384 |
| 1922559186 | PRESLEY WANNER Individual | Behavior Analyst | 3401 45TH ST S STE A FARGO, ND 58104 (701) 356-4384 |
| 1083937270 | DR. JUSTIN JAMES BOSECK PH.D. Individual | Psychologist | 3401 45TH ST S STE A FARGO, ND 58104 (701) 356-4384 |
| 1528115052 | MS. CATHERINE AGNES HJELLE LPCC LICSW Individual | Counselor (Mental Health) | 3401 45TH ST S STE A FARGO, ND 58104 (701) 356-4384 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255791620, enumerated in the NPI registry as an "individual" on February 29, 2016
The provider is located at 3401 45th St S Ste A Fargo, Nd 58104 and the phone number is (701) 356-4384
The provider's speciality is Behavior Technician with taxonomy code 106S00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 29, 2016. 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].
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