Blossom Child Psychology & Behavioral Health Center, PLLC – Adolescent and Children Mental Health Clinic/Center, NPI 1194059642

Blossom Child Psychology & Behavioral Health Center, PLLC is a healthcare provider. based in Minnetonka, Minnesota. specializing in Adolescent and Children Mental Health Clinic/Center. The organization holds a License No. LP4976 (MN). The NPI Number for Blossom Child Psychology & Behavioral Health Center, PLLC is 1194059642

Main info

Organization
Name
Blossom Child Psychology & Behavioral Health Center, PLLC
NPI
1194059642
Phone
(952) 545-3300
Address
10505 WAYZATA BLVD STE 103
Authorized Official
DR. GRETCHEN LEWIS-SNYDER CHIEF MANAGER/PSYCHOLOGIST PHD, LP
Enumeration Date
30 September 2009
Last Update Date
28 August 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness80
Years active:16State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Blossom Child Psychology & Behavioral Health Center, PLLC

  • 10505 WAYZATA BLVD STE 103

    MINNETONKA, MN 553051507

    Phone: (952) 545-3300

    Fax: (952) 545-3300

    Type: Mailing

  • 11900, Wayzata Boulevard, Oak Knoll, Minnetonka, Hennepin County, Minnesota, 55305, United States

    SUITE 216E

    MINNETONKA, MN 553052031

    Phone:

    Type: Mailing

NPPES updates history

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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Insurance plans in this area (ZIP 55305)

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Frequently asked questions

Can I verify Blossom Child Psychology & Behavioral Health Center, PLLC with an NPI only?
You can start verification with NPI 1194059642 for Blossom Child Psychology & Behavioral Health Center, PLLC, then check state licensing separately.
Is Blossom Child Psychology & Behavioral Health Center, PLLC still practicing?
Blossom Child Psychology & Behavioral Health Center, PLLC is currently listed as active in the public NPI registry.
What is Blossom Child Psychology & Behavioral Health Center, PLLC's primary classification?
Adolescent and Children Mental Health Clinic/Center is the headline specialty for Blossom Child Psychology & Behavioral Health Center, PLLC here. Clinical services aligned with this taxonomy classification.
What address line appears for Blossom Child Psychology & Behavioral Health Center, PLLC?
Blossom Child Psychology & Behavioral Health Center, PLLC's geographic hint is Minnetonka, Minnesota in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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