LARRY JAY BLOOM (NPI# 1407878051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407878051 |
| Entity Type | Individual |
| Full Name | LARRY JAY BLOOM |
| Credential | PH.D. |
| Practice Address |
Of Psychology Colorado State University Ft Collins CO 80523-0001 |
| Mailing Address |
1000 Southpark Drive Littleton CO 80120-5654 |
| Practice Telephone | 9704915214 |
| Mailing Telephone | 3037152264 |
| Mailing Fax Number | 3037032118 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2010-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
500 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467716167 | Larry Dean Bloom | Dentist | 131 Carmichael Rd Ste 200, Hudson, WI 54016-8271 | 2012-06-27 |
| 1144400763 | Larry Martin Bloom | Optometrist | 5600 Monroe St, Sylvania, OH 43560 | 2007-11-12 |
| Street Address |
OF PSYCHOLOGY COLORADO STATE UNIVERSITY |
| City | FT COLLINS |
| State | CO |
| Zip Code | 80523-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205383833 | Jessica Morse | Counselor | 123 Aylesworth Nw Csu Health Network, Colorado State University, Fort Collins, CO 80523 | 2016-09-01 |
| 1457764813 | Elizabeth Eli | Specialist | 1500 S Lemay Ave, Fort Collins, CO 80523 | 2014-06-03 |
| 1124365473 | Susan Taylor-johnson | Counselor | 800 Meridian Drive, Fort Collins, CO 80523 | 2013-01-07 |
| 1336440551 | Michelle Truex | Pharmacist | Csu Health Network Pharmacy Campus Delivery 8031, Fort Collins, CO 80523 | 2010-11-04 |
| 1942306329 | Allison Marie Rottini | Psychologist | 123 Nw Aylesworth, Csu Health Network, Fort Collins, CO 80523 | 2006-09-15 |
| 1124527593 | Adam-jon Aparicio | Counselor | 151 West Lake Street, Counseling Services, Fort Collins, CO 80523 | 2018-02-12 |
| 1639528102 | Gilda Olivia Rios | Counselor | 123 Aylesworth Hall Nw, Department 8010, Fort Collins, CO 80523 | 2016-06-06 |
| 1316360365 | Lori Stevens | Registered Nurse | 600 South Drive, Fort Collins, CO 80523 | 2014-01-28 |
| 1346532751 | Carol W Clark | Registered Nurse | 600 South Drive, Fort Collins, CO 80523 | 2011-05-04 |
| 1487850657 | Cheryl Ann Schiager | Registered Nurse | 600 South Drive, Colorado State University, Fort Collins, CO 80523 | 2007-06-25 |
| Find all providers in zip 80523 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792128 | Theresa Constance Home Care LLC | Psychologist | 1336 S Oakland St, Aurora, CO 80012-4233 | 2019-01-01 |
| 1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
| 1437503638 | Andrew Schechterman Phd LLC | Psychologist | 7807 E Peakview Ave Ste 130, Suite 130, Centennial, CO 80111-6849 | 2016-04-14 |
| 1801942297 | Martin David Dubin | Psychologist | 8000 E 6th Ave, Denver, CO 80230-7071 | 2007-01-26 |
| 1477607554 | Durango Psychological Associates, LLC | Psychologist | 1 Mercado St Ste 265, Durango, CO 81301-7300 | 2007-01-23 |
| 1679652184 | Andrew Schechterman | Psychologist | 6801 S Yosemite St Fl 2, Centennial, CO 80112-1406 | 2006-11-03 |
| 1437171881 | Barbara Walker | Psychologist | 1200 Larimer Street, Ucd Dept of Psychology /campus Box 173, Denver, CO 80217-3364 | 2006-07-24 |
| 1003874611 | Daniel L Bruns | Psychologist | 1610 29th Avenue Pl, Suite 200, Greeley, CO 80634-6813 | 2006-05-03 |
| 1598399115 | Ph Balance Behavioral | Psychologist | 2547 11th Ave Ste B, Greeley, CO 80631-1680 | 2020-02-24 |
| 1710385018 | Alexa Rae Rydquist | Psychologist | 4455 E 12th Ave, Denver, CO 80220-2415 | 2014-12-18 |
| Find all providers with the same taxonomy | ||||
| City | FT COLLINS |
| Zip Code | 80523 |
Please comment or provide details below to improve the information on LARRY JAY BLOOM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.