Cinnamon Sue Bloss, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY23085 Issued in CA

Practice address

10666 N Torrey Pines Rd
La Jolla, CA 92037-1027

Phone

(858) 554-5737

Fax

(858) 546-9280

NPI assigned

Jul 28, 2010

Last updated

Sep 7, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1417261769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 54433",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900744433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10666 N TORREY PINES RD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371027",
            "telephone_number": "858-554-5737",
            "fax_number": "858-546-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOSS",
        "first_name": "CINNAMON",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY23085",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23085",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garry J Bloch, DMD
• Miriam Bloch, M.D.
• Michael A. Block, M.D.
• Sandra Block, PH.D.
• Stephanie R Bloom, OTR CHT
• Kenneth John Blunt, M.D.
• Teodora Nikolaeva Bochnakova, M.D.
• Sara Bockhold, PA
• Hannah Bodeau
• Jelena Cingel Bodinet, AMFT

• Clinical Neuropsychologist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.