Bloom Psychotherapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLOOM PSYCHOTHERAPY LLC

Practice address

2330 NW Flanders St Ste 107
Portland, OR 97210-3400

Phone

(917) 727-0825

NPI assigned

Jul 24, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Elisabeth P Bloom, PSYDNPI 1902246010

Title

Clinical Psychologist

Phone

(917) 727-0825

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elisabeth Bloom, PSY.D.

  • Clinical Psychologist
  • Portland, OR
  • NPI 1902246010
  NPD Authorized official

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1891304986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 NW FLANDERS ST STE 107",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103400",
            "telephone_number": "917-727-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 NW FLANDERS ST STE 107",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103400",
            "telephone_number": "917-727-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "917-727-0825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Blondo
• Kimberly Blood, PHARMD, RPH
• Jesse Rainer Bloodgood
• Katherine Brianna Bloodgood
• Bloom Natural Healthcare
• Anna Bloom
• Ava Bloom, MS
• Christine Marie Bloom, NP
• Elisabeth Bloom, PSY.D.
• Erin Danielle Bloom, DC

• Community/Behavioral Health Agency in Portland, OR
• Providers in Portland, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.