DR. JONATHAN BLOOMBERG MD
NPI 1336322924
Psychiatry & Neurology - Child & Adolescent Psychiatry in Northbrook, IL

Active since December 06, 2007Opted out of Medicare · through May 22, 2027
950 SKOKIE BLVD, #307, NORTHBROOK, IL 60062(847) 291-0088(847) 291-7607 Get Directions Write a Review

NPPES record last updated: December 6, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jonathan Bloomberg Md NPPES

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

DR. JONATHAN BLOOMBERG MD (NPI 1336322924) is an individual child & adolescent psychiatry provider in Northbrook, Illinois and active in the NPI registry since December 2007. He has opted out of Medicare through May 22, 2027 and remains eligible to order and refer and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1987).

NPPES Registry Identity

NPI1336322924
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. JONATHAN BLOOMBERGCredential: MD
Location Address950 SKOKIE BLVD, #307Northbrook, IL 60062
Mailing Address950 Skokie Blvd, #307Northbrook, IL 60062 · (847) 291-0088 · Fax (847) 291-7607
Fax(847) 291-7607
Sole ProprietorYes
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1987
Enumeration DateDecember 6, 2007
NPI 1336322924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
950 SKOKIE BLVD, Northbrook, IL 60062

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Jonathan Bloomberg Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 22, 2017 through May 22, 2027.

Opt-Out Effective DateMay 22, 2017
Opt-Out In Effect ThroughMay 22, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 9

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

Counselor (Professional)
950 SKOKIE BLVD, SUITE #304
NORTHBROOK, IL 60062
Counselor (Mental Health)
950 SKOKIE BLVD, SUITE 305
NORTHBROOK, IL 60062
Psychiatry & Neurology (Child & Adolescent Psychiatry)
950 SKOKIE BLVD, SUITE 310
NORTHBROOK, IL 60062
Psychiatry & Neurology (Child & Adolescent Psychiatry)
950 SKOKIE BLVD, SUITE 305
NORTHBROOK, IL 60062
Social Worker (Clinical)
950 SKOKIE BLVD, SUITE 305
NORTHBROOK, IL 60062
Social Worker (Clinical)
950 SKOKIE BLVD
NORTHBROOK, IL 60062
Social Worker (Clinical)
950 SKOKIE BLVD, SUITE 305
NORTHBROOK, IL 60062
Psychologist
950 SKOKIE BLVD, SUITE 305
NORTHBROOK, IL 60062

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 Jonathan Bloomberg's NPI number?

The NPI number for Jonathan Bloomberg is 1336322924. It was assigned to this individual provider in the NPPES registry on December 6, 2007.

Where is Jonathan Bloomberg located?

Jonathan Bloomberg practices at 950 Skokie Blvd #307, Northbrook, IL 60062. The listed phone number is (847) 291-0088.

What is Jonathan Bloomberg's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jonathan Bloomberg enrolled in Medicare?

No. Jonathan Bloomberg has opted out of Medicare through May 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jonathan Bloomberg was last updated on December 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.