DR. DAVID L BLOCH PH.D.
NPI 1417028564
Psychologist - Adult Development & Aging in Middletown, NY

Q: What is David Bloch's NPI number?

The NPI number for David Bloch is 1417028564. It was assigned to this individual provider in the NPPES registry on November 12, 2006.

Q: What is David Bloch's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Adult Development & Aging, with taxonomy code 103TA0700X.

Q: When was this NPI record last updated?

The NPPES record for David Bloch was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 November 12, 2006PECOS EnrolledAccepts Medicare Assignment

52 GRAND AVE, MIDDLETOWN, NY 10940(845) 343-1685(845) 343-1685 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. David L Bloch Ph.d. NPPES

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

DR. DAVID L BLOCH PH.D. (NPI 1417028564) is an individual adult development & aging provider in Middletown, New York, licensed in New York (NY010546) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1417028564

Entity TypeIndividualMale

Primary Taxonomy103TA0700X

Provider Legal NameDR. DAVID L BLOCHCredential: PH.D.

Location Address52 GRAND AVEMiddletown, NY 10940-3925

Mailing Address52 Grand AveMiddletown, NY 10940-3925 · (845) 343-1685 · Fax (845) 343-1685

Phone(845) 343-1685

Fax(845) 343-1685

Sole ProprietorYes

Medical School CMSOtherGraduated 1977

Enumeration DateNovember 12, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1417028564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPsychologist · Adult Development & AgingBehavioral Health & Social Service Providers

Taxonomy Code103TA0700X

License✔ Licensed in NY · NY010546

Definition

A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.

Also ListedPsychologistTaxonomy 103T00000X · License NY 010546 (NY)

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License NY010546 (NY)

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License NY010546 (NY)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License NY 010546 (NY)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License NY 010546 (NY)

Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License NY 010546 (NY)

52 GRAND AVE, Middletown, NY 10940

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Other Identifiers 5

Other110487NY · Magellan

Other1050590NY · Affinity

OtherV72041NY · Blue Cross Blue Shield

Other0015355NY · Ghi

Other135316NY · Value Options

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David L Bloch Ph.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 ID3971638131

PECOS Enrollment IDI20150901002147

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.

Other Providers at the Same Location NPPES

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

WILLIAM A. HAAS PSY.D.

Psychologist

52 GRAND AVE
MIDDLETOWN, NY 10940

Orange County (845) 342-9906

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 David Bloch's NPI number?

The NPI number for David Bloch is 1417028564. It was assigned to this individual provider in the NPPES registry on November 12, 2006.

Where is David Bloch located?

David Bloch practices at 52 Grand Ave, Middletown, NY 10940. The listed phone number is (845) 343-1685.

What is David Bloch's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Adult Development & Aging, with taxonomy code 103TA0700X.

Is David Bloch enrolled in Medicare?

Yes. David Bloch 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.

When was this NPI record last updated?

The NPPES record for David Bloch was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.