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

Shadow Bloom Psychological Services PLLC

Organization Clinical Psychologist · NPI 1326924986

Shadow Bloom Psychological Services PLLC is a Clinical Psychologist in Brooklyn, New York. Registered with an NPI since 2025.

In the registry since
2025
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

44 Court St Ste 1217
Brooklyn, NY 11201-4410
Phone: (646) 632-2324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1326924986
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mariely Hernandez — Member & Clinical Psychologist · (646) 632-2324
Other names Heathen Health Cole
NPI enumeratedAugust 11, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing address44 Court St Ste 1217, Brooklyn, NY 11201-4410

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