Organization provider

BLOSSOM SERVICES GROUP LLC

Intellectual & Developmental Disabilities Psychologist

BLOSSOM SERVICES GROUP LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104790989, based in West Fargo, ND. It is classified under Intellectual & Developmental Disabilities Psychologist.

Getting there

The practice address on file is 1042 14TH AVE E STE 210, West Fargo, ND 58078. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1042 14TH AVE E STE 210, West Fargo, ND 58078 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Intellectual & Developmental Disabilities covers

Definition to come... NUCC Health Care Provider Taxonomy, code 103TM1800X
Behavioral Health & Social Service Providers Psychologist Intellectual & Developmental Disabilities

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104790989 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateOct 3, 2025
Last updatedOct 3, 2025
StatusActive
Practice address 1042 14TH AVE E STE 210
West Fargo, ND 58078
(701) 541-9884
Mailing address 2046 RUTTAN CT
West Fargo, ND 58078
This record was updated on Oct 3, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104790989 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 7 9 0 9 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 5 9 0 9 7

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104790989?
NPI 1104790989 is the National Provider Identifier assigned to BLOSSOM SERVICES GROUP LLC in West Fargo, ND. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Intellectual & Developmental Disabilities cover?
Definition to come...
How do I contact BLOSSOM SERVICES GROUP LLC?
The phone number on file with NPPES is (701) 541-9884, last updated Oct 3, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104790989 a valid number?
Yes. 1104790989 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.