Dr. Rachel Bloom, PSYD
Psychologist, Clinical in Madison, Connecticut
1679141022- Practice location
- 17 Woodland RD Fl 2, Madison, CT 06443-2342
- Phone
- 617-827-4534
- Fax
- —
- Last updated
- June 14, 2021
Rachel Bloom is a Psychologist, Clinical based in Madison, CT. Rachel Bloom practices in Madison, CT and has the professional credentials of PSYD. The NPI Number for Rachel Bloom is 1679141022 and holds a License No. 3507 (CT). The current practice location address for Rachel Bloom is 17 Woodland RD Fl 2, Madison, CT 06443-2342 and can be reached out via phone at 617-827-4534.
Provider Profile Details
- NPI Number
- 1679141022
- Provider Name
- Rachel Bloom
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 17 Woodland RD Fl 2, Madison, CT 06443-2342
- Phone Number
- 617-827-4534
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 14, 2021
- Last Update Date
- June 14, 2021
- Certification Date
- June 14, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17 Woodland RD Fl 2
Madison, CT 06443-2342 - City
- Madison
- State
- Connecticut
- Zip
- 06443-2342
- Phone Number
- 617-827-4534
Provider Business Mailing Address Details
- Address
- 53 Genesee Ln
Madison, CT 06443-8126 - City
- Madison
- State
- CT
- Zip
- 06443-8126
- Phone Number
- 617-827-4534
License Information
- License Number
- 3507
- License State
- CT
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Rachel Bloom, PSYD?
The NPI number of Dr. Rachel Bloom, PSYD is 1679141022. It was assigned on June 14, 2021 and is currently active in the NPPES registry.
What is the specialty of Dr. Rachel Bloom, PSYD?
Dr. Rachel Bloom, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 3507.
Where does Dr. Rachel Bloom, PSYD practice?
The practice location is 17 Woodland RD Fl 2, Madison, CT 06443-2342. The office can be reached at 617-827-4534 (phone).
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 1679141022 directly on the NPPES registry website.