Active NPIIndividual providerSole proprietor

Dr. Jan H Bloom, PHD

Psychologist in Newton Highlands, Massachusetts

NPI Number1184724783
Practice location
4 - 8 Hartford Street, Newton Highlands, MA 02461-1913
Fax
617-244-4558
Last updated
July 8, 2007

Jan Hettie Bloom is a Psychologist based in Newton Highlands, MA. Jan Hettie Bloom practices in Newton Highlands, MA and has the professional credentials of PHD. The NPI Number for Jan Hettie Bloom is 1184724783 and holds a License No. 3381 (MA). The current practice location address for Jan Hettie Bloom is 4 - 8 Hartford Street, Newton Highlands, MA 02461-1913 and can be reached out via phone at 617-243-6327 and via fax at 617-244-4558.

Provider Profile Details

NPI Number
1184724783
Provider Name
Jan Hettie Bloom
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
4 - 8 Hartford Street, Newton Highlands, MA 02461-1913
Phone Number
617-243-6327
Fax Number
617-244-4558
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 23, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 - 8 Hartford Street
Newton Highlands, MA 02461-1913
Zip
02461-1913
Phone Number
617-243-6327
Fax Number
617-244-4558
Newton Highlands, MA 02461Get directions →

Provider Business Mailing Address Details

Address
23 Moffat RD
Waban, MA 02468-1112
City
Waban
State
MA
Zip
02468-1112
Phone Number
617-243-6327
Fax Number
617-244-4558

License Information

License Number
3381
License State
MA
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jan H Bloom, PHD?

The NPI number of Dr. Jan H Bloom, PHD is 1184724783. It was assigned on September 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jan H Bloom, PHD?

Dr. Jan H Bloom, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 3381.

Where does Dr. Jan H Bloom, PHD practice?

The practice location is 4 - 8 Hartford Street, Newton Highlands, MA 02461-1913. The office can be reached at 617-243-6327 (phone) or 617-244-4558 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184724783 directly on the NPPES registry website.

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