Ruth a. Goldbloom, P.a.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

RUTH A. GOLDBLOOM, P.A.

Doing business as

Casselman Counseling Consortium

Practice address

12590 National Pike
Suite 2
Grantsville, MD 21536-3310

Phone

(301) 895-3388

Fax

(301) 895-3399

NPI assigned

Nov 6, 2007

Last updated

Nov 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ruth Alice Goldbloom, LCPC, LPC

Title

Ownern& Chief Clinician

Phone

(301) 895-3388

Specialties & licenses 2

Addresses

Other names 1

• Casselman Counseling Consortium Doing business as

Locations

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1275713356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12590 NATIONAL PIKE",
            "address_2": "P O BOX 268",
            "city": "GRANTSVILLE",
            "state": "MD",
            "postal_code": "215363310",
            "telephone_number": "301-895-3388",
            "fax_number": "301-895-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12590 NATIONAL PIKE",
            "address_2": "SUITE 2",
            "city": "GRANTSVILLE",
            "state": "MD",
            "postal_code": "215363310",
            "telephone_number": "301-895-3388",
            "fax_number": "301-895-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTH A. GOLDBLOOM, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "GOLDBLOOM",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "OWNERN& CHIEF CLINICIAN",
        "authorized_official_telephone_number": "301-895-3388",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casselman Counseling Consortium",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jody Pifer
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• Robin Bissell, M.D, LLC
• Melissa Cirulli Scott, D.O.
• Christy Lynn Sellers, LCSW-C
• Natosha D Shaw, LMSW
• Holly Elizbeth Sisler, D.D.S
• Specialty Physicians of Garrett County LLC

• Adolescent and Children Mental Health Clinic/Center in Grantsville, MD
• Providers in Grantsville, MD by specialty
• Adolescent and Children Mental Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.