MR. RICHARD BLOOM (NPI# 1487678207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487678207 |
| Entity Type | Individual |
| Full Name | MR. RICHARD BLOOM |
| Credential | MFT |
| Practice Address |
865 3rd St Santa Rosa CA 95404-4515 |
| Mailing Address |
755 W Sierra Ave Cotati CA 94931-4281 |
| Practice Telephone | 7076650846 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC19312 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003189010 | Richard Bloom | Internal Medicine | 4105 Costado Rd., Pebble Beach, CA 93953-3004 | 2012-02-22 |
| 1346410123 | Richard M Bloom | Chiropractor | 100 Red Schoolhouse Rd, 7a, Chestnut Ridge, NY 10977-7049 | 2008-03-07 |
| 1417077272 | Richard B Bloom | Internal Medicine | 3730 N Ridge Rd Ste 200, Kansas Endovascular Medicine Associates, Wichita, KS 67205-1228 | 2007-03-29 |
| 1952481251 | Richard R Bloom | Surgery | 1900 5th Ave, Columbus, GA 31904 | 2006-10-17 |
| 1063442705 | Richard A. Bloom | Internal Medicine | 194 Lakeside Pl, Highland Park, IL 60035-5317 | 2006-07-04 |
| 1548298250 | Richard R Bloom | Chiropractor | 13947 Beach Blvd Ste 202, Jacksonville, FL 32224-1200 | 2006-06-29 |
| 1326046301 | Richard Michael Bloom | Dentist | 2870 Hempstead Tpke, Suite 101, Levittown, NY 11756-1341 | 2005-07-13 |
| 1447256227 | Richard Fredric Bloom | Psychologist | 292 Post Rd E, Westport, CT 06880-3614 | 2005-06-25 |
| 1548396146 | Richard Stevan Bloom | Social Worker | 39700 Bob Hope Dr, Suite 216, Rancho Mirage, CA 92270-3267 | 2007-02-26 |
| 1871641282 | Richard Kenneth Bloom | Psychologist | 925 The Alameda, #11, Berkeley, CA 94707 | 2007-01-08 |
| Street Address |
865 3RD ST |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-4515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366810194 | Tatra-li De La Rosa | Marriage & Family Therapist | 865 3rd St, Suite 204, Santa Rosa, CA 95404-4515 | 2015-09-10 |
| 1063805802 | Richard Doleman | Marriage & Family Therapist | 865 3rd St, Santa Rosa, CA 95404-4515 | 2015-03-17 |
| 1891936662 | Malcolm Robert Miller | Psychologist | 865 3rd St, Santa Rosa, CA 95404-4515 | 2009-03-09 |
| 1295994119 | Patricia Ann Cisco | Marriage & Family Therapist | 865 3rd St, Suite 201, Santa Rosa, CA 95404-4515 | 2008-06-05 |
| 1124297312 | Nancy Hauser Cushing | Marriage & Family Therapist | 865 3rd St, Ste 104, Santa Rosa, CA 95404-4515 | 2008-02-21 |
| 1104032663 | Thomas N Barber | Marriage & Family Therapist | 865 3rd St, Suite 104, Santa Rosa, CA 95404-4515 | 2007-05-14 |
| 1801919642 | Jeanne Vattuone | Social Worker | 865 3rd St, Suite 204, Santa Rosa, CA 95404-4515 | 2007-04-09 |
| 1861550436 | Bettina M. O'brien | Marriage & Family Therapist | 865 3rd St, Suite 102, Santa Rosa, CA 95404-4515 | 2006-12-05 |
| 1598879520 | Alta Lura Tibbits-kleber | Psychologist | 865 3rd St, Suite 100, Santa Rosa, CA 95404-4515 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386269918 | Debra Gold | Marriage & Family Therapist | 835 Piner Rd, Santa Rosa, CA 95403-2063 | 2020-06-09 |
| 1619590700 | Cameron Craig Lutchansky | Marriage & Family Therapist | 2235 Mercury Way Ste 240, Santa Rosa, CA 95407-5443 | 2020-05-22 |
| 1689294498 | Pamela Jo Peringer | Marriage & Family Therapist | 2345 Morningside Cir, Santa Rosa, CA 95405-9132 | 2020-04-22 |
| 1467004028 | Megan Barajas | Marriage & Family Therapist | 3440 Mendocino Ave, Santa Rosa, CA 95403-2221 | 2019-07-14 |
| 1275193674 | Marie Romano | Marriage & Family Therapist | 3434 Mendocino Ave Bldg C, Santa Rosa, CA 95403-2274 | 2019-06-18 |
| 1851956932 | Amy Theodore | Marriage & Family Therapist | 2455 Bennett Valley Rd Ste B201, Santa Rosa, CA 95404-5667 | 2019-05-05 |
| 1609335314 | Heidi Diebel | Marriage & Family Therapist | 9291 Oak Trail Cir, Santa Rosa, CA 95409 | 2019-03-13 |
| 1114413952 | Jordan Morrison | Marriage & Family Therapist | 1260 N Dutton Ave Ste 230, Santa Rosa, CA 95401-7161 | 2018-07-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1174012710 | Humanidad Therapy and Education Services | Marriage & Family Therapist | 95 Montgomery Dr Ste 112, Santa Rosa, CA 95404-6617 | 2018-05-09 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
Please comment or provide details below to improve the information on MR. RICHARD 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.