Richard Kenneth Bloom, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY8494 Issued in CA

Practice address

1369 Crown Dr
Alameda, CA 94501-3727

Phone

(510) 334-9373

Fax

(510) 724-5304

NPI assigned

Jan 8, 2007

Last updated

Mar 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James R. McCole,M.D.,Inc.

  • Family Medicine Physician
  • Pinole, CA
  • NPI 1538331103
  NPD (past)
• Rekha Murali MD Inc

  • Internal Medicine Physician
  • Pinole, CA
  • NPI 1154556488
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1871641282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 CROWN DR # 11",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013727",
            "telephone_number": "510-334-9373",
            "fax_number": "510-724-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 CROWN DR",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013727",
            "telephone_number": "510-334-9373",
            "fax_number": "510-724-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "RICHARD",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY8494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cinda Ann Blanchard
• Katherinne Abigail Blanco
• Stephanie Blank, AMFT
• Julian Blecken
• Ernest Bloom, MD
• Blue Arrow Behavioral Services
• Laurie F Bochner, M.S. CCC-SLP
• Perry Duane Bogdan
• Doris Maria Bognar
• Marketa Novosadova Boller

• Psychologist in Alameda, CA
• Providers in Alameda, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.