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DR. NORA L BLOOMINGDALE PSYD
NPI 1407241409
Psychologist - Clinical in Everett, WA

Active since April 06, 2015Opted out of Medicare · through Oct 1, 2027
4216 122ND PL SE, EVERETT, WA 98208(425) 475-1207 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 21, 2023, May 13, 2019, Mar 14, 2019 and 3 more (6 updates tracked since 2018).

About Dr. Nora L Bloomingdale Psyd NPPES

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

DR. NORA L BLOOMINGDALE PSYD (NPI 1407241409) is an individual clinical provider in Everett, Washington, licensed in Washington (PY60674062) and active in the NPI registry since April 2015. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1407241409
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. NORA L BLOOMINGDALECredential: PSYD
Location Address4216 122ND PL SEEverett, WA 98208-9100
Mailing Address16706 30th Dr SeBothell, WA 98012-6039 · Fax (847) 217-4191
Phone(425) 475-1207
Sole ProprietorYes
Enumeration DateApril 6, 2015
Last NPPES UpdateFebruary 21, 20236 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
✔ NPI 1407241409 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 WA · PY60674062
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LH60562634 (WA)
4216 122ND PL SE, Everett, WA 98208
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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. Nora L Bloomingdale Psyd 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 October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Nora Bloomingdale's NPI number?

The NPI number for Nora Bloomingdale is 1407241409. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Nora Bloomingdale located?

Nora Bloomingdale practices at 4216 122nd Pl SE, Everett, WA 98208. The listed phone number is (425) 475-1207.

What is Nora Bloomingdale's specialty?

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

Is Nora Bloomingdale enrolled in Medicare?

No. Nora Bloomingdale has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nora Bloomingdale was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.