Richard Kenneth Bloom in Berkeley - Psychologist
Richard Kenneth Bloom - NPI 1871641282
Richard Kenneth Bloom is a Psychologist in Berkeley, California. Richard Kenneth Bloom practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Richard Kenneth Bloom is 1871641282. The last update date is 2008-07-24.
Richard Kenneth Bloom's current location address is 925 The Alameda, Berkeley, California. You can contact this provider via phone number 5105261864 and fax number 5107245304. The mailing address for Richard Kenneth Bloom is 925 The Alameda, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Kenneth Bloom |
|---|---|
| Address | 925 The Alameda, Berkeley, California |
| Phone Number | 5105261864 |
| Fax Number | 5107245304 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1871641282 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2008-07-24 |
Provider Mailing Address Detail
| Address | 925 The Alameda |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 94707 |
| Phone Number | 5105261864 |
| Fax Number | 5107245304 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY8494 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identification code issued to Richard Kenneth Bloom by the Centers for Medicare & Medicaid Services?
The Richard Kenneth Bloom has been assigned the NPI (National Provider Identifier) 1871641282 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Richard Kenneth Bloom?
The Richard Kenneth Bloom is physically situated at 925 The Alameda, in the city of Berkeley, state of CA, with the postal code 94707.
What is the Richard Kenneth Bloom's area of specialization and corresponding taxonomy classification?
The Richard Kenneth Bloom's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1871641282 to Richard Kenneth Bloom?
The Richard Kenneth Bloom received its 1871641282 assignment from the Centers for Medicare & Medicaid Services on 2007-01-08.
When was the information pertaining to Richard Kenneth Bloom most recently updated or revised?
The details related to Richard Kenneth Bloom, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-24.