Linda Bloom, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

990-057 Issued in WI

Practice address

330 S Whitney Way
Suite 304
Madison, WI 53705-4638

Phone

(608) 231-3191

Fax

(608) 231-3108

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Capitol Associates, SC

  • Counselor
  • Madison, WI
  • NPI 1992718589

  Psychologist

  NPD (past)
• County of Sauk

  • Community/Behavioral Health Agency
  • Baraboo, WI
  • NPI 1508915323
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1174530661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S WHITNEY WAY",
            "address_2": "SUITE 304",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054638",
            "telephone_number": "608-231-3191",
            "fax_number": "608-231-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S WHITNEY WAY",
            "address_2": "SUITE 304",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054638",
            "telephone_number": "608-231-3191",
            "fax_number": "608-231-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "LINDA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "990-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38047900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Blomberg
• Courtney Blomme, RD
• Bloom Chiropractic, LLC
• Bloom Chiropractic, LLC
• Elizabeth Av Bloom, DPT
• Margaret Claire Bloom, DNP, AG-ACNP
• Paul Stewart Bloom, D.C.
• Emily Bloomfield
• Blooming Grove, Burke, Maple Bluff EMS Ambulance District
• Blossoming Wellness, LLC

• Psychologist in Madison, WI
• Providers in Madison, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.