DR. KRYSTLE MICHELLE BLOOM PSYD
NPI 1104376821
Psychologist - Clinical in Torrance, CA

Q: What is Krystle Bloom's NPI number?

The NPI number for Krystle Bloom is 1104376821. It was assigned to this individual provider in the NPPES registry on October 5, 2016.

Q: What is Krystle Bloom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Krystle Bloom was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since October 05, 2016PECOS Enrolled

1000 W CARSON ST, TORRANCE, CA 90502(310) 222-3151 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Mar 3, 2021, Sep 16, 2020 and 2 more (5 updates tracked since 2018).

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About Dr. Krystle Michelle Bloom Psyd NPPES

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

DR. KRYSTLE MICHELLE BLOOM PSYD (NPI 1104376821) is an individual clinical provider in Torrance, California, licensed in California (PSY33827) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pasadena.

NPPES Registry Identity

NPI1104376821

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KRYSTLE MICHELLE BLOOMCredential: PSYD

Location Address1000 W CARSON STTorrance, CA 90502-2004

Mailing AddressPo Box 15682Long Beach, CA 90815-0682 · (562) 505-9250

Phone(310) 222-3151

Sole ProprietorNo

Enumeration DateOctober 5, 2016

Last NPPES UpdateSeptember 11, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2025

✔ NPI 1104376821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY33827

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1000 W CARSON ST, Torrance, CA 90502

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Secondary Practice Location 1

Location 1680 E Colorado Blvd Ste 180Pasadena, CA 91101-6144 · Phone (562) 505-9250

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Krystle Michelle Bloom Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MISS BRITTANY IRVINE M.A.

Student in an Organized Health Care Education/Training Program

1000 W CARSON ST
TORRANCE, CA 90502

Los Angeles County (310) 222-2345

DEPAREMENT OF MANTAL HEALTH

Case Management

1000 W CARSON ST
TORRANCE, CA 90502

Los Angeles County (310) 222-1648

DINA M MEZA

Nurse Practitioner (Family)

1000 W CARSON ST, HEAD AND NECK BOX 6
TORRANCE, CA 90502

Los Angeles County (310) 222-2741

MARIA GUADALUPE VALADEZ

Student in an Organized Health Care Education/Training Program

1000 W CARSON ST
TORRANCE, CA 90502

Los Angeles County (559) 789-1327

ESTEBAN COTA

Specialist

1000 W CARSON ST
TORRANCE, CA 90502

Los Angeles County (310) 222-2345

MS. DAWN MARIE TLUSTY RN

Registered Nurse (Infusion Therapy)

1000 W CARSON ST
TORRANCE, CA 90502

Los Angeles County (310) 222-1906

DR. NICOLE MOORE MD

Student in an Organized Health Care Education/Training Program

1000 W CARSON ST
TORRANCE, CA 90502

Los Angeles County (310) 222-2345

KENTON YUJI SAKURAI

Psychiatry & Neurology (Psychiatry)

1000 W CARSON ST
TORRANCE, CA 90502

Los Angeles County (424) 306-4000

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 Krystle Bloom's NPI number?

The NPI number for Krystle Bloom is 1104376821. It was assigned to this individual provider in the NPPES registry on October 5, 2016.

Where is Krystle Bloom located?

Krystle Bloom practices at 1000 W Carson St, Torrance, CA 90502. The listed phone number is (310) 222-3151.

What is Krystle Bloom's specialty?

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

Is Krystle Bloom enrolled in Medicare?

Yes. Krystle Bloom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Krystle Bloom was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.