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DR. ALEX BLOOM PSY.D.
NPI 1124357306
Psychologist - Clinical in Beaverton, OR

Active since December 16, 2009PECOS EnrolledAccepts Medicare Assignment
8285 SW NIMBUS AVE STE 130, BEAVERTON, OR 97008(503) 610-2044(503) 296-2102 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Alex Bloom Psy.d. NPPES

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

DR. ALEX BLOOM PSY.D. (NPI 1124357306) is an individual clinical provider in Beaverton, Oregon, licensed in Oregon (2330) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1124357306
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ALEX BLOOMCredential: PSY.D.
Location Address8285 SW NIMBUS AVE STE 130Beaverton, OR 97008-6428
Mailing Address399 E 10th AveEugene, OR 97401-3380 · (541) 868-2004 · Fax (541) 868-2003
Phone(503) 610-2044
Fax(503) 296-2102
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 16, 2009
Last NPPES UpdateMay 20, 2022
NPPES CertifiedMay 20, 2022
✔ NPI 1124357306 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 OR · 2330
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.
8285 SW NIMBUS AVE STE 130, Beaverton, OR 97008
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Other Identifiers 2

OtherR0000WDBCHMedicare Group
Medicaid164936OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alex Bloom Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395987077
PECOS Enrollment IDI20130808000488
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.

Medicare Billing Reassignment

Medicare enrollment records show Alex Bloom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Western Psychological And Counseling Services LLC
124 mi
Clinical
2420 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Oregon enrollment
  • 314 clinicians in this Medicare group
NPI 1912008178 (253) 752-7320

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97008 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
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 8

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

DR. MINKYEONG SHIN PH.D.
Psychologist
8285 SW NIMBUS AVE STE 130
BEAVERTON, OR 97008
Washington County (503) 610-2044
ANNA BEATRICE FORCELLE PSY.D.
Psychologist (Clinical)
8285 SW NIMBUS AVE STE 130
BEAVERTON, OR 97008
Washington County (503) 610-2044
MRS. ALICIA J. PALMER
Counselor (Professional)
8285 SW NIMBUS AVE STE 130
BEAVERTON, OR 97008
Washington County (503) 610-2044
APRIL BREWER PSY. D.
Psychologist
8285 SW NIMBUS AVE STE 130
BEAVERTON, OR 97008
Washington County (503) 610-2044
SEAN PATRICK ELLISON LCMHC
Counselor (Professional)
8285 SW NIMBUS AVE STE 130
BEAVERTON, OR 97008
Washington County (503) 610-2044
JARED DOMINGUEZ LMFT
Marriage & Family Therapist
8285 SW NIMBUS AVE STE 130
BEAVERTON, OR 97008
Washington County (503) 610-2044
NAOYA IZAWA PSY.D.
Psychologist (Clinical)
8285 SW NIMBUS AVE STE 130
BEAVERTON, OR 97008
Washington County (503) 610-2044
MS. SARA J JENSEN PSY. D.
Psychologist
8285 SW NIMBUS AVE STE 130
BEAVERTON, OR 97008
Washington County (503) 610-2044

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 Alex Bloom's NPI number?

The NPI number for Alex Bloom is 1124357306. It was assigned to this individual provider in the NPPES registry on December 16, 2009.

Where is Alex Bloom located?

Alex Bloom practices at 8285 SW Nimbus Ave Ste 130, Beaverton, OR 97008. The listed phone number is (503) 610-2044.

What is Alex Bloom's specialty?

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

Is Alex Bloom enrolled in Medicare?

Yes. Alex Bloom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Alex Bloom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alex Bloom reassigns Medicare benefits to Western Psychological And Counseling Services LLC (Tacoma, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alex Bloom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alex Bloom accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Alex Bloom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alex Bloom was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.