Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloom Harbor Psychiatry, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1740121896

Bloom Harbor Psychiatry, LLC is a Psychiatric/Mental Health Nurse Practitioner in Churchville, Maryland. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3024 Level Rd
Churchville, MD 21028-1409
Phone: (410) 688-1908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1740121896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Dinges — Crnp · (410) 498-7403
NPI enumeratedApril 2, 2026
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address3024 Level Rd, Churchville, MD 21028-1409

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