Bryn Mawr Psychological Services

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PS002631L Issued in PA

Legal business name

BRYN MAWR PSYCHOLOGICAL SERVICES

Practice address

210 Lone Oak Dr
Bryn Mawr, PA 19010-2049

Phone

(610) 527-5152

Fax

(610) 527-5242

NPI assigned

Oct 16, 2006

Last updated

Jan 14, 2009By 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

Dr. Nancy R Bloomfield, PH.D.

Title

Owner

Phone

(610) 527-5152

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1356421580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LONE OAK DR",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102049",
            "telephone_number": "610-527-5152",
            "fax_number": "610-527-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LONE OAK DR",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102049",
            "telephone_number": "610-527-5152",
            "fax_number": "610-527-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYN MAWR PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "BLOOMFIELD",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-527-5152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS002631L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Child & Adolescent Psychologist in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Clinical Child & Adolescent Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.