DR. JILL BETZ BLOOM PH.D.
NPI 1114079084
Psychologist - Clinical in Brookline, MA

Q: What is Jill Bloom's NPI number?

The NPI number for Jill Bloom is 1114079084. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Q: What is Jill 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 Jill Bloom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 18, 2007

33 GARRISON RD, BROOKLINE, MA 02445(617) 731-8968 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jill Betz Bloom Ph.d. NPPES

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

DR. JILL BETZ BLOOM PH.D. (NPI 1114079084) is an individual clinical provider in Brookline, Massachusetts, licensed in Massachusetts (3168) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1114079084

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JILL BETZ BLOOMCredential: PH.D.

Location Address33 GARRISON RDBrookline, MA 02445-4445

Mailing Address33 Garrison RdBrookline, MA 02445-4445 · (617) 734-3243

Phone(617) 731-8968

Sole ProprietorYes

Enumeration DateJanuary 18, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114079084 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 MA · 3168

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.

33 GARRISON RD, Brookline, MA 02445

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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 Jill Bloom's NPI number?

The NPI number for Jill Bloom is 1114079084. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Jill Bloom located?

Jill Bloom practices at 33 Garrison Rd, Brookline, MA 02445. The listed phone number is (617) 731-8968.

What is Jill Bloom'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 Jill Bloom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.