Individual provider Active NPI

Christopher Adams Bloom, PSY.D.

  • Psychologist
  • Huntsville, AL
National Provider Identifier
1053538702
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1210 Issued in AL
Practice address
333 Franklin St SE
Suite 100
Huntsville, AL 35801-4258
Phone
(256) 533-1799
Fax
(256) 533-2506
NPI assigned
Apr 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1210 AL Primary

Addresses

Primary practice location

333 Franklin St SE
Suite 100
Huntsville, AL 35801-4258

Mailing address

333 Franklin St SE
Suite 100
Huntsville, AL 35801-4258
Phone (256) 533-1799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 28, 2025 through Sep 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Adams Bloom, Inc. Psychologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053538702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 FRANKLIN ST SE",
            "address_2": "SUITE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014258",
            "telephone_number": "256-533-1799",
            "fax_number": "256-533-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 FRANKLIN ST SE",
            "address_2": "SUITE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014258",
            "telephone_number": "256-533-1799",
            "fax_number": "256-533-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "CHRISTOPHER",
        "middle_name": "ADAMS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "1210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.