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 provides Psychiatry Physician services 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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