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BLOOM PSYCHOLOGICAL SERVICES, LLC
NPI 1083098495
Psychologist - Clinical in Gulfport, MS

Active since July 15, 2015
1520 29TH AVE, SUITE 31, GULFPORT, MS 39501(228) 547-2273 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bloom Psychological Services, Llc NPPES

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

BLOOM PSYCHOLOGICAL SERVICES, LLC (NPI 1083098495) is a healthcare organization registered as a clinical in Gulfport, Mississippi and active in the NPI registry since July 2015. The organization lists Holly Michelle Spotts, Owner, as its authorized official.

NPPES Registry Identity

NPI1083098495
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameBLOOM PSYCHOLOGICAL SERVICES, LLC
Location Address1520 29TH AVE, SUITE 31Gulfport, MS 39501-2843
Mailing AddressPo Box 1583Long Beach, MS 39560-1583 · (228) 547-2273 · Fax (877) 895-6469
Phone(228) 547-2273
Organization SubpartNo
Authorized OfficialHolly Michelle SpottsOwner · (228) 547-2273
Enumeration DateJuly 15, 2015
✔ NPI 1083098495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MS · 54965
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1520 29TH AVE, Gulfport, MS 39501
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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 5

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

KATHRINE MASON MS, LPC
Counselor
1520 29TH AVE, SUITE 13
GULFPORT, MS 39501
Harrison County (228) 669-5283
MARQUEST LINDSEY
Counselor (Professional)
1520 29TH AVE
GULFPORT, MS 39501
Harrison County (228) 591-1442
DEVOTED HEART HOME CARE, LLC
Home Health
1520 29TH AVE, SUITE 4
GULFPORT, MS 39501
Harrison County (678) 330-3240
TERI L GUYER
Counselor (Professional)
1520 29TH AVE
GULFPORT, MS 39501
Harrison County (614) 477-5467
JESSICA M BASKETT
Counselor (Professional)
1520 29TH AVE, SUITE 19
GULFPORT, MS 39501
Harrison County (662) 295-6131

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 Bloom Psychological Services, LLC's NPI number?

The NPI number for Bloom Psychological Services, LLC is 1083098495. It was assigned to this organization in the NPPES registry on July 15, 2015.

Where is Bloom Psychological Services, LLC located?

Bloom Psychological Services, LLC is located at 1520 29th Ave Suite 31, Gulfport, MS 39501. The listed phone number is (228) 547-2273.

What is Bloom Psychological Services, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Bloom Psychological Services, LLC was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.