DR. JILL BETZ BLOOM (NPI# 1114079084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114079084 |
Entity Type | Individual |
Full Name | DR. JILL BETZ BLOOM |
Credential | PH.D. |
Practice Address |
33 Garrison Rd Brookline MA 02445-4445 |
Practice Telephone | 6177318968 |
Mailing Telephone | 6177343243 |
Enumeration Date | 2007-01-18 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
3168 | MA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134565351 | Jill Myerow Bloom | Psychologist | 115 Mill St, Belmont, MA 02478-1064 | 2013-05-14 |
1558641910 | Jill Rita Bloom | Speech-Language Pathologist | 202 S Park Street, Madison, WISCONSIN 53715-1507 | 2011-08-17 |
1215114541 | Jill E. Bloom | Physician Assistant | 120 Akers Farm Rd, Christiansburg, VA 24073-4863 | 2008-01-29 |
1386753069 | Jill Elaine Bloom | Registered Nurse | 7000 Franklin Blvd, # 200, Sacramento, CA 95823-1820 | 2006-08-29 |
Street Address |
33 GARRISON RD |
City | BROOKLINE |
State | MA |
Zip Code | 02445-4445 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316582117 | Isha Gujrathi | Student in an Organized Health Care Education/Training Program | Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 | 2019-11-15 |
1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
1548775190 | Neurodevelopmental Educational Services, Pllc | Social Worker | 26 Edgehill Road, Brookline, MA 02445 | 2017-12-05 |
1942654231 | Elena Carolina Itriago Araujo | Student in an Organized Health Care Education/Training Program | 358 Tappan St, Brookline, MA 02445 | 2016-04-22 |
1477920098 | Kayoko Obara, Dmd PC | Clinic/Center | 77 Pond Ave., #103, Brookline, MA 02445 | 2015-08-31 |
1700203668 | Sophie-charlotte Hofferberth | Student in an Organized Health Care Education/Training Program | 93 Evans Road, Brookline, MA 02445 | 2014-03-27 |
1639503535 | Kieran Evans | Social Worker | 43 Garrison Road, Brookline, MA 02445 | 2013-08-27 |
1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
1710252861 | Lin Shen | Internal Medicine | 375 Boylston St, Brookline, MA 02445 | 2012-03-21 |
1992074645 | Christine Beatriz Arismendi | Counselor | 16 University Road Apartment 1, Brookline, MA 02445 | 2011-12-27 |
Find all providers in zip 02445 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174173785 | Kai Le Page Bekkeli | Psychologist | 251 Harvard St Ste 8, Brookline, MA 02446-5000 | 2019-09-16 |
1831662774 | Shiraz Levkovich | Psychologist | 1371 Beacon St Ste 304-305, Brookline, MA 02446-4905 | 2019-01-03 |
1821512872 | Ilana Lindsay Cooper | Psychologist | 1093 Beacon St Ste 401, Brookline, MA 02446 | 2017-08-01 |
1538683735 | Elizabeth Apkin | Psychologist | 1330 Beacon Street Suite 201, Brookline, MA 02446 | 2017-07-29 |
1972968451 | Robert Thomson Kinscherff | Psychologist | 117 Franklin St # 2, Brookline, MA 02445-6701 | 2015-12-28 |
1124436225 | Emily Inglesi | Psychologist | 1530 Beacon St, Apt 207, Brookline, MA 02446-2630 | 2014-08-01 |
1114355815 | Nancy Lorene Gregg | Psychologist | 153 Naples Rd, Brookline, MA 02446-5747 | 2013-10-16 |
1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
1841565959 | Ava Bry Penman | Psychologist | 29 Salisbury Rd, Brookline, MA 02445-2104 | 2012-03-22 |
1730469586 | Jessica Laurel Gashin | Psychologist | 1731 Beacon St, Unit 1206, Brookline, MA 02445-5350 | 2011-08-25 |
Find all providers in BROOKLINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.