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

Bloom Wellness and Psychiatry PLLC

Organization Psychiatry Physician · NPI 1164203402

Bloom Wellness and Psychiatry PLLC is a Psychiatry Physician in Austin, Texas. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

821 W 11th St
Austin, TX 78701-2009
Phone: (512) 952-2644
Fax: (512) 668-7885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1164203402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Sisul — Owner · (512) 952-2644
Other names Amanda Sisul
NPI enumeratedOctober 12, 2023
Last updated in NPPESNovember 16, 2023
Certification dateNovember 16, 2023
Mailing address13359 N Highway 183 Ste 406-533, Austin, TX 78750-7153

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