MICHAEL V BLOOM PHD LLC
NPI 1073163580
Psychologist in Portage, MI

Active since September 17, 2019
7920 KIRKLAND CT, PORTAGE, MI 49024(269) 345-0669(269) 345-5354 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 25, 2020, Sep 17, 2019 (2 updates tracked since 2019).

About Michael V Bloom Phd Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL V BLOOM PHD LLC (NPI 1073163580) is a healthcare organization registered as a psychologist in Portage, Michigan and active in the NPI registry since September 2019. The organization lists Michael V Bloom, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1073163580
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMICHAEL V BLOOM PHD LLC
Location Address7920 KIRKLAND CTPortage, MI 49024-4974
Mailing AddressPo Box 3272Saginaw, MI 48605-3272 · (989) 797-1400 · Fax (989) 797-4077
Fax(269) 345-5354
Organization SubpartNo
Authorized OfficialMichael V BloomPsychologist · (269) 345-0669
Enumeration DateSeptember 17, 2019
Last NPPES UpdateSeptember 25, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2020
NPI 1073163580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

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.

7920 KIRKLAND CT, Portage, MI 49024

Other Identifiers 1

Other6301017079MI · State License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology (Pain Medicine)
7920 KIRKLAND CT
PORTAGE, MI 49024
Occupational Therapist
7920 KIRKLAND CT
PORTAGE, MI 49024
Psychologist (Clinical)
7920 KIRKLAND CT
PORTAGE, MI 49024
Registered Nurse (Pain Management)
7920 KIRKLAND CT
PORTAGE, MI 49024
Occupational Therapist
7920 KIRKLAND CT
PORTAGE, MI 49024
Psychologist
7920 KIRKLAND CT
PORTAGE, MI 49024
Occupational Therapist
7920 KIRKLAND CT
PORTAGE, MI 49024
Registered Nurse (Pain Management)
7920 KIRKLAND CT
PORTAGE, MI 49024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael V Bloom Phd LLC's NPI number?

The NPI number for Michael V Bloom Phd LLC is 1073163580. It was assigned to this organization in the NPPES registry on September 17, 2019.

Where is Michael V Bloom Phd LLC located?

Michael V Bloom Phd LLC is located at 7920 Kirkland Ct, Portage, MI 49024. The listed phone number is (269) 345-0669.

What is Michael V Bloom Phd LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Michael V Bloom Phd LLC was last updated on September 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.