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LARRY JAY BLOOM PH.D.
NPI 1407878051
Psychologist - Health Service in Ft Collins, CO

Active since July 24, 2006Opted out of Medicare · through Apr 1, 2027
OF PSYCHOLOGY COLORADO STATE UNIVERSITY, FT COLLINS, CO 80523(970) 491-5214 Get Directions Write a Review

NPPES record last updated: July 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larry Jay Bloom Ph.d. NPPES

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

LARRY JAY BLOOM PH.D. (NPI 1407878051) is an individual health service provider in Ft Collins, Colorado, licensed in Colorado (500) and active in the NPI registry since July 2006. He has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1407878051
Entity TypeIndividualMale
Primary Taxonomy103TH0100X
Provider Legal NameLARRY JAY BLOOMCredential: PH.D.
Location AddressOF PSYCHOLOGY COLORADO STATE UNIVERSITYFt Collins, CO 80523-0001
Mailing Address1000 Southpark DriveLittleton, CO 80120-5654 · (303) 715-2264 · Fax (303) 703-2118
Phone(970) 491-5214
Sole ProprietorYes
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 28, 2010
✔ NPI 1407878051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in CO · 500
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
OF PSYCHOLOGY COLORADO STATE UNIVERSITY, Ft Collins, CO 80523
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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

Larry Jay Bloom Ph.d. 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 April 1, 2025 through April 1, 2027.

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
984 services36 patients

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 Larry Bloom's NPI number?

The NPI number for Larry Bloom is 1407878051. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Larry Bloom located?

Larry Bloom practices at Of Psychology Colorado State University, Ft Collins, CO 80523. The listed phone number is (970) 491-5214.

What is Larry Bloom's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Larry Bloom enrolled in Medicare?

No. Larry Bloom has opted out of Medicare through April 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 Larry Bloom was last updated on July 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.