ROBERT BLOOM


Address: 5384 Poplar Ave, Suite 313, Memphis, TN 38119-3609
Phone: 9015219671

ROBERT BLOOM (NPI# 1730161910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730161910
Entity Type Individual
Full Name ROBERT BLOOM
Credential PH.D.
Practice Address 5384 Poplar Ave
Suite 313
Memphis
TN 38119-3609
Mailing Address Po Box 579
Olive Branch
MS 38654-0579
Practice Telephone 9015219671
Mailing Telephone 6628951707
Mailing Fax Number 6628930388
Enumeration Date 2005-11-15
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
04-4P AR Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
P0376 TN Behavioral Health & Social Service Providers

Other Providers ROBERT BLOOM

NPI Name Taxonomy Address Enumeration
1548363971 Robert Franklin Bloom Dermatology 3413 20th St, Lubbock, TX 79410 2006-09-07
1821014846 Robert Leslie Bloom Internal Medicine Northern Virigina Pulmonary & Critical Care Assoc. PC, 3289 Woodburn Road, 350, Annandale, VA 22003 2006-07-14
1740713312 Robert Bloom Physical Therapy Assistant 2018 Se Federal Hwy, Stuart, FL 34994-3918 2017-04-10
1942322052 Robert Jeffrey Bloom Social Worker 344 Placerville Dr Ste 17, Placerville, CA 95667-3972 2007-04-06
1467527143 Robert Jay Bloom Dentist 393 N Dunlap St, Suite 100 Central Medical Bldg, St Paul, MN 55104 2006-11-21
1457386104 Robert A Bloom Urology 2900 S Highway 77, Lynn Haven, FL 32444-5612 2006-07-11
1760413389 Robert E. Bloom Internal Medicine 22301 Foster Winter Dr, 2nd Floor, Southfield, MI 48075-3707 2006-07-05
1396786935 Robert Bloom Radiology 2700 Low Ct, Fairfield, CA 94534-9715 2006-06-08
1578512893 Robert Todd Bloom Ophthalmology 1 Childrens Plz, Dayton, OH 45404-1898 2006-05-06
1609850932 Robert W Bloom Psychiatry & Neurology 3633 W Lake Ave, Suite 404, Glenview, IL 60026-5805 2005-11-30

Office Location

Street Address 5384 POPLAR AVE
SUITE 313
City MEMPHIS
State TN
Zip Code 38119-3609

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134100712 W. Edward Amos Psychologist 5384 Poplar Ave, Suite 313, Memphis, TN 38119-3609 2005-11-09
1689813057 Behavioral Medicine Consultants, Pllc Psychiatry & Neurology 5384 Poplar Ave, Ste 106, Memphis, TN 38119-3609 2009-02-09
1649358680 Mary B Carpenter Social Worker 5384 Poplar Ave, Ste 105, Memphis, TN 38119 2006-11-01
1881701985 Thomas G Bannister Psychiatry & Neurology 5384 Poplar Ave, Suite 106, Memphis, TN 38119-3609 2006-08-24
1689655268 Optimum Behavioral Health, Inc. Psychologist 5384 Poplar Ave, Suite 313, Memphis, TN 38119-3609 2005-11-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417469628 Jojuan Fullwiley Behavioral Analyst 6685 Quince Rd Ste 116, Memphis, TN 38119 2017-10-27
1336675297 Jill Budynas Depriest Counselor 5583 Murray Ave Ste 203, Memphis, TN 38119 2017-05-11
1396279220 Glen Matthew Stamps Jr. Counselor 5583 Murray Ave Ste 207, Memphis, TN 38119 2017-04-18
1598117442 Hazel Aberdeen Chiropractor 1911 Memphis Tennessee, Memphis, TN 38119 2016-07-04
1831569060 E-c-t Non Emergency Medical Transport Non-emergency Medical Transport (VAN) 6869 Woodlake Dr, Memphis, TN 38119 2015-09-30
1053781617 Astrid Roman Dietitian, Registered 8020 Hillside Cv, Memphis, MS 38119 2015-09-25
1467857664 Allan Jacob Katz Counselor 5668 Rex Rd, Suite 104, Memphis, TN 38119 2014-10-30
1962836015 Judy Ann Harrick Acupuncturist 5575 Poplar Ave., #702, Memphis, TN 38119 2013-08-26
1366791949 Jennifer Denyes Bidelman Audiologist 5625 Poplar Avenue, Memphis, TN 38119 2012-08-29
1578833620 Elizabeth Mary Dion-douglass Pharmacist 2891 Kirby Parkway, Memphis, TN 38119 2012-01-06
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447805031 Jasmine Jones Psychologist 516 Tennessee St Ste 225, Memphis, TN 38103-4717 2019-08-09
1649768870 River City Neuropsychology, Pllc Psychologist 1661 International Dr., Suite 400, Memphis, TN 38120 2018-04-24
1265950919 Memphis Center for Mindful Living, LLC Psychologist 4646 Poplar Ave Ste 435, Memphis, TN 38117-4443 2017-09-01
1053869354 Kimberly Noel Fleming Psychologist 512 Alexander St, Memphis, TN 38111-4310 2016-09-14
1003230350 Kyong Han Psychologist 6401 Poplar Ave Ste 420, Memphis, TN 38119-4806 2014-02-06
1578997615 William Leslie Fulliton Psychologist 1407 Union Ave Ste 1407, Memphis, TN 38104 2013-08-26
1073862827 Joann Paula Raby Psychologist 5119 Summer Ave Ste 233, Memphis, TN 38122-4417 2012-09-06
1922236546 Robert Allen Neimeyer Psychologist Department of Psychology 400 Innovation Dr, University of Memphis, Memphis, TN 38152-3230 2009-06-23
1477753564 Meghan Eileen Mcdevitt-murphy Psychologist 202 Psychology Bldg, University of Memphis, Memphis, TN 38152-3230 2007-07-18
1508086976 Charlotte L Kennedy Psychologist 4953 W Old Farm Rd, Memphis, TN 38125-3706 2007-04-26
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Competitor

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City MEMPHIS
Zip Code 38119

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Dataset Information

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.

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