WILDBLOOM THERAPY NPI 1699608331

NPI Information

  • NPI: 1699608331
  • Provider Name: WILDBLOOM THERAPY
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 34428 YUCAIPA BLVD # E130
    YUCAIPA, CA
    ZIP 92399
  • Phone: (909) 433-1484

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NPI Details

WILDBLOOM THERAPY is a mental health (including community mental health center) clinic center in Yucaipa, CA. WILDBLOOM THERAPY NPI is 1699608331. The provider is registered as an organization entity type.

The provider's business location address is:

34428 YUCAIPA BLVD # E130
YUCAIPA, CA
ZIP 92399-474
Phone: (909) 433-1484

The provider's authorized official is Nigar Eminzade .
The authorized official title is President/psychotherapist and has the following contact phone number (909) 433-1484.

The enumeration date for this NPI number is 6/3/2026 and was last updated on 6/3/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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