Sally Bloch PHD LP PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301006311 Issued in MI

Legal business name

SALLY BLOCH PHD LP PLLC

Practice address

4190 Telegraph Rd Ste 2700
Bloomfield Hills, MI 48302-2042

Phone

(248) 343-3318

Fax

(248) 522-7365

NPI assigned

Apr 4, 2008

Last updated

Jun 25, 2020By 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. Sally Ann Bloch, PHDNPI 1598842908

Title

Psychologist

Phone

(248) 343-3318

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sally Bloch, PHD

  • Psychologist
  • Bloomfield Hills, MI
  • NPI 1598842908
  Authorized official Same address or phone
• Jin Lee Kim, PH.D.

  • Clinical Psychologist
  • Bloomfield Hills, MI
  • NPI 1588828453
  NPD (past)

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1801069323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 RIVENOAK ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480095737",
            "telephone_number": "248-343-3318",
            "fax_number": "248-522-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 TELEGRAPH RD STE 2700",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022042",
            "telephone_number": "248-343-3318",
            "fax_number": "248-522-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY BLOCH PHD LP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "BLOCH",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-343-3318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301006311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0F32753",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nidhi Saini, D.O.
• Anthony M Sakorafis, DDS
• Rima Sakr
• Vanessa N. Salliotte
• Anan Salloum
• Samano & Kejbou Dental, PC (Bloomfield Hills Dental Associates)
• Ivan Mark Samano, DDS
• Ahmad M Samhouri, M.D.
• Michael Kovel Samson, M.D.
• Samuelson Enterprises, PLLC (Grace Wellness Clinic)

• Psychologist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.