Melissa Marie Bloom in San Francisco - Psychologist
Melissa Marie Bloom - NPI 1477679363
Melissa Marie Bloom is a Psychologist in San Francisco, California. Melissa Marie Bloom practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Melissa Marie Bloom is 1477679363. The last update date is 2007-07-16.
Melissa Marie Bloom's current location address is 1700 Jackson St, San Francisco, California. You can contact this provider via phone number 4152921500 and fax number 4152922030. The mailing address for Melissa Marie Bloom is 1700 Jackson St, San Francisco, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Marie Bloom |
|---|---|
| Address | 1700 Jackson St, San Francisco, California |
| Phone Number | 4152921500 |
| Fax Number | 4152922030 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1477679363 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | 1700 Jackson St |
|---|---|
| City | San Francisco |
| State | California (CA) |
| Post Code | 941092918 |
| Phone Number | 4152921500 |
| Fax Number | 4152922030 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY15832 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11062 | CBHS INTERNAL USE ONLY-COMMERC | ||
| 11062 | SFGH INTERNAL USE ONLY |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Melissa Marie Bloom by the Centers for Medicare & Medicaid Services?
The Melissa Marie Bloom has been issued the NPI (National Provider Identifier) 1477679363, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Melissa Marie Bloom's physical address?
The Melissa Marie Bloom is physically located at 1700 Jackson St, in the city of San Francisco, CA, with the postal code 941092918.
What is the Melissa Marie Bloom's specialty and taxonomy code?
The Melissa Marie Bloom's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Melissa Marie Bloom receive its 1477679363 assignment from the Centers for Medicare & Medicaid Services?
The Melissa Marie Bloom was assigned its 1477679363 by the Centers for Medicare & Medicaid Services on 2007-03-22.
When was the information regarding Melissa Marie Bloom, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Melissa Marie Bloom, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-16.