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 provides Clinical Psychologist services 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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