MELISSA MARIE BLOOM (NPI# 1477679363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477679363 |
| Entity Type | Individual |
| Full Name | MELISSA MARIE BLOOM |
| Credential | PHD |
| Practice Address |
1700 Jackson St San Francisco CA 94109-2918 |
| Practice Telephone | 4152921500 |
| Practice Fax Number | 4152922030 |
| Mailing Telephone | 4152921500 |
| Mailing Fax Number | 4152922030 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY15832 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER | 11062 | 01 | |
| SFGH INTERNAL USE ONLY | 11062 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417575390 | Melissa Anne Bloom | Student in an Organized Health Care Education/Training Program | 50 Redfield St, Dorchester, MA 02122-3630 | 2020-07-08 |
| 1760834907 | Melissa Bloom | Physical Therapist | 3333 S Wadsworth Blvd, 321, Lakewood, CO 80227-5122 | 2016-07-12 |
| 1386020774 | Melissa Diane Bloom | Dietitian, Registered | 7951 Collin Mckinney Pkwy Ste 200, Mckinney, TX 75070-7843 | 2015-08-07 |
| 1770709834 | Melissa Shea Bloom | Physical Therapist | 1441 Clifton Rd Ne, Atlanta, GA 30322-1004 | 2007-04-17 |
| 1689775173 | Melissa M Bloom | Family Medicine | 1314 S King St, Suite 514, Honolulu, HI 96814-1956 | 2006-09-26 |
| Street Address |
1700 JACKSON ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94109-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740306638 | Diane R Kile | Registered Nurse | 1700 Jackson St, San Francisco, CA 94109-2918 | 2007-03-22 |
| 1043472442 | Jessica M Brown | Counselor | 1700 Jackson St, San Francisco, CA 94109-2918 | 2008-06-26 |
| 1396904959 | Tracy Donsky | Counselor | 1700 Jackson St, San Francisco, CA 94109-2918 | 2008-06-08 |
| 1154580876 | Andrea Javorkova Adams | Counselor | 1700 Jackson St, San Francisco, CA 94109-2918 | 2008-06-06 |
| 1477752780 | Matthew Foley | Counselor | 1700 Jackson St, San Francisco, CA 94109-2918 | 2007-07-16 |
| 1902021017 | Margo Johnson | Counselor | 1700 Jackson St, San Francisco, CA 94109-2918 | 2007-04-16 |
| 1396868626 | David Earl Johnson | Social Worker | 1700 Jackson St, San Francisco, CA 94109-2918 | 2007-04-10 |
| 1356464887 | Jim M Stockton | Counselor | 1700 Jackson St, San Francisco, CA 94109-2918 | 2007-04-09 |
| 1942327606 | Jeffrey A Cotter | Social Worker | 1700 Jackson St, San Francisco, CA 94109-2918 | 2007-03-26 |
| 1851418511 | Hugh E Macbeth | Social Worker | 1700 Jackson St, San Francisco, CA 94109-2918 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169738 | Emmapreet Bal | Social Worker | 750 Post Street, San Francisco, CA 94109 | 2020-09-21 |
| 1801414669 | Hegla Yakeline Fielding | Registered Nurse | Felton Institute, 1500 Franklin St, San Francisco, CA 94109 | 2020-07-08 |
| 1356991350 | Rachel Sit Wong | Technician | 1280 Ellis St. Apt. 12, San Francisco, CA 94109 | 2019-09-12 |
| 1396392502 | Laura Kathryn Strader | Student in an Organized Health Care Education/Training Program | Community Youth Center, 1038 Post Street, San Francisco, CA 94109 | 2019-08-22 |
| 1821650227 | Anita Kathleen O'shea | Community Health Worker | 730 Polk St 4th Floor, San Francisco, CA 94109 | 2019-07-05 |
| 1275015638 | Quenna G Lee | Occupational Therapist | 1948 California Street, San Francisco, CA 94109 | 2018-09-02 |
| 1659857340 | Kaihan Zhong | Marriage & Family Therapist | 1038 Post Street Community Youth Center, San Francisco, CA 94109 | 2018-07-16 |
| 1144716044 | Elaina Barulic | Marriage & Family Therapist | 2040 Gough St, San Francisco, CA 94109 | 2018-07-03 |
| 1447778048 | Yltze Pamela Cubas-moody | Dentist | 2107 Vanness Ave, San Francisco, CA 94109 | 2017-09-03 |
| 1063939387 | Ritu Sen | Counselor | 815 Hyde Street, Suite 100, San Francisco, CA 94109 | 2017-08-28 |
| Find all providers in zip 94109 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948600 | Kesha Patrice | Psychologist | 939 Ellis St, San Francisco, CA 94109-7714 | 2020-09-29 |
| 1225644487 | Brock Louis Pistel | Psychologist | 939 Ellis St Fl 67, San Francisco, CA 94109-7714 | 2020-09-22 |
| 1336758291 | Kelsey Thompson Laird | Psychologist | 1875 Church St, San Francisco, CA 94131-2712 | 2020-07-27 |
| 1265050595 | Vida Family Therapy PC | Psychologist | 100 Montgomery St Ste 750, San Francisco, CA 94104-4302 | 2020-07-13 |
| 1619593274 | Francene G Colvin | Psychologist | 1939 Divisadero, Suite 1, San Francisco, CA 94115 | 2020-06-19 |
| 1427686831 | Laura Straus | Psychologist | 4150 Clement St # 116p, San Francisco, CA 94121-1563 | 2020-03-31 |
| 1962036111 | Mary Brady | Psychologist | 3159 Sacramento St, San Francisco, CA 94115-2005 | 2020-02-26 |
| 1063044535 | Grace Jebara Marriage Therapy Inc | Psychologist | 2169 Union St # 3, San Francisco, CA 94123-4003 | 2020-02-12 |
| 1477190577 | Brittany Linton | Psychologist | 930 Sutter St Apt 402, San Francisco, CA 94109-6095 | 2019-12-08 |
| 1417508748 | Julian Samuel Farzan-kashani | Psychologist | 625 Market St Ste 510, San Francisco, CA 94105-3302 | 2019-09-27 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94109 |
Please comment or provide details below to improve the information on MELISSA MARIE BLOOM.
| 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.