Kerry L Bloomingdale in West Springfield - Psychiatry
Kerry L Bloomingdale - NPI 1326039181
Kerry L Bloomingdale is a Psychiatry in West Springfield, Massachusetts. Kerry L Bloomingdale practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kerry L Bloomingdale is 1326039181. The last update date is 2011-05-16.
Kerry L Bloomingdale's current location address is 1132 Westfield St, West Springfield, Massachusetts. You can contact this provider via phone number 8003785454. The mailing address for Kerry L Bloomingdale is 1132 Westfield St, West Springfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry L Bloomingdale |
|---|---|
| Address | 1132 Westfield St, West Springfield, Massachusetts |
| Phone Number | 8003785454 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1326039181 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2011-05-16 |
Provider Mailing Address Detail
| Address | 1132 Westfield St |
|---|---|
| City | West Springfield |
| State | Massachusetts (MA) |
| Post Code | 10893878 |
| Phone Number | 8003785454 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 43793 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 15-00675 | MA | EVERCARE | |
| 719405 | MA | TUFTS MEDICARE PREFERRED | |
| C04856 | MA | BC/BS OF MASSACHUSETTS | |
| C04856 | MA | FEDERAL BC/BS | |
| 719405 | MA | TUFTS | |
| O167959 | MA | -- | |
| C04856 | MA | BLUE CARD |
Post Comment/ Review Below
What is the Kerry L Bloomingdale's unique identification number?
The Kerry L Bloomingdale has been assigned the NPI (National Provider Identifier) Number 1326039181 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Kerry L Bloomingdale?
The Kerry L Bloomingdale is physically situated at 1132 Westfield St, in the city of West Springfield, state of MA, with the postal code 10893878.
What is the area of specialization for Kerry L Bloomingdale, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kerry L Bloomingdale is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.
On what date did the Kerry L Bloomingdale receive the assignment of its 1326039181 from the Centers for Medicare & Medicaid Services?
The Kerry L Bloomingdale was issued its 1326039181 by the Centers for Medicare & Medicaid Services on 2005-11-02.
As of what date were the details related to Kerry L Bloomingdale most recently updated or revised?
The information pertaining to Kerry L Bloomingdale, including its address, specialty, and other relevant details, was last updated or revised on 2011-05-16.