DR. PETER BLOOM (NPI# 1720144306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720144306 |
Entity Type | Individual |
Full Name | DR. PETER BLOOM |
Credential | PH.D. |
Practice Address |
1707 Belle View Blvd Alexandria VA 22307-6727 |
Practice Telephone | 7037655675 |
Practice Fax Number | 7037656115 |
Mailing Telephone | 7037655675 |
Mailing Fax Number | 7037656115 |
Enumeration Date | 2006-12-28 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810000667 | VA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780891200 | Peter Mark Bloom | Physical Therapist | 366 Lake Shore Rd, Putnam Valley, NY 10579-1314 | 2007-05-16 |
1447468954 | Peter E Bloom Jr. | Internal Medicine | 25 Newell Rd, Suite E36, Bristol, CT 06010-5100 | 2007-05-18 |
1871615336 | Peter Brower Bloom | Psychiatry & Neurology | 950 E Haverford Rd, Suite 302, Bryn Mawr, PA 19010-3850 | 2007-04-04 |
1316923253 | Peter D Bloom | Internal Medicine | 60 Maple Rd, Ste 1, Williamsville, NY 14221-2917 | 2005-12-22 |
Street Address |
1707 BELLE VIEW BLVD |
City | ALEXANDRIA |
State | VA |
Zip Code | 22307-6727 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770576266 | Esther Matias | Internal Medicine | 1707 Belle View Blvd, A-2, Alexandria, VA 22307-6727 | 2005-08-30 |
1558661231 | Mount Vernon Family Therapy Assoc. LLC | Counselor | 1707 Belle View Blvd, C-2, Alexandria, VA 22307-6727 | 2010-10-27 |
1093047961 | Lindsey Clarke Moore | Social Worker | 1707 Belle View Blvd, Suite C-2, Alexandria, VA 22307-6727 | 2010-02-03 |
1073701199 | Lindsay Walker Blass | Psychologist | 1707 Belle View Blvd, Suite C-1, Alexandria, VA 22307-6727 | 2007-10-15 |
1003003427 | Jennifer Mcewan | Psychologist | 1707 Belle View Blvd, C-1, Alexandria, VA 22307-6727 | 2007-09-30 |
1952515413 | Kimberly P. Diamond-berry | Psychologist | 1707 Belle View Blvd, Suite C-1, Alexandria, VA 22307-6727 | 2007-05-10 |
1982820312 | Linda Johnson | Psychologist | 1707 Belle View Blvd, Suite B-2, Alexandria, VA 22307-6727 | 2007-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831707488 | Khudsiatu Tucker | Nurse Practitioner | 1636 Belle View Boulevard, Alexandria, VA 22307 | 2020-07-20 |
1376199273 | Senle Care | Family Medicine | 6628 E Wakefield Dr Apt B1, Alexandria, VA 22307 | 2019-08-15 |
1508388612 | Lopez & Associates Therapy Group, PC | Developmental Therapist | 1602 Belle View Blvd., Suite 735, Alexandria, VA 22307 | 2017-07-10 |
1720444003 | Nicole Bowns-yepez | Behavioral Analyst | 6413 Olmi Landrith Dr, Alexandria, VA 22307 | 2016-01-03 |
1710363924 | Kate Keyser Rossi, Psy.d., LLC | Clinic/Center | 1707 Belle View Blvd. A-2, Alexandria, VA 22307 | 2015-08-11 |
1295125631 | Fessehaie Tecleab | Pharmacist | 1636 Bellevue Blvd, Alexandria, VA 22307 | 2015-01-23 |
1427457548 | Leigh Conant | Marriage & Family Therapist | 1707 Belle View Blvd, Suite C-2, Alexandria, VA 22307 | 2014-08-14 |
1215057997 | Dental Associates | Clinic/Center | 1500 Belleview Blvd, Alexandria, VA 22307 | 2007-03-29 |
1740350685 | Richard Godlewski | Dentist | 1500 Belleview Blvd., 1500, Alexandria, VA 22307 | 2006-11-08 |
1447358015 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1636 Belle View Blvd, Alexandria, VA 22307 | 2006-09-20 |
Find all providers in zip 22307 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548886674 | Anita L Boss | Psychologist | 1200 Prince St, Alexandria, VA 22314-2936 | 2020-06-24 |
1831722313 | Alexandria Therapy, LLC | Psychologist | 2210 Mount Vernon Ave Ste 204, Alexandria, VA 22301-1361 | 2020-02-12 |
1982236709 | Pivotal Psych Consultants | Psychologist | 500 N Washington St Ste 205, Alexandria, VA 22314-2314 | 2020-02-10 |
1992337273 | Jessica Mae Desalu | Psychologist | 205 S Whiting St Ste 312, Alexandria, VA 22304-3632 | 2020-02-05 |
1760948095 | Daniela Sosa-sarkar | Psychologist | 5500 Holmes Run Pkwy Ste C4, Alexandria, VA 22304-2860 | 2019-02-12 |
1326504739 | Sadie Doll | Psychologist | 5615k Jackson St, Alexandria, LA 71303-2592 | 2019-02-11 |
1972070894 | Ansari and Associates, LLC | Psychologist | 901 N Washington St Ste 601, Alexandria, VA 22314-1535 | 2018-10-29 |
1679040851 | Kathryn Ziemer | Psychologist | 1202 Prince St, Alexandria, VA 22314-2936 | 2018-10-25 |
1699259812 | Travis Drake Flower | Psychologist | 3412 Tennessee Dr, Alexandria, VA 22303-1225 | 2018-09-24 |
1720572076 | Michele Klopner | Psychologist | 3602 Forest Dr, Alexandria, VA 22302-1091 | 2018-06-20 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 22307 |
Please comment or provide details below to improve the information on DR. PETER 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.