MR. JARED DICICCO-BLOOM
NPI 1508488172
Counselor - Mental Health in New York, NY

Active since May 17, 2020
303 5TH AVE RM 1003, NEW YORK, NY 10016(212) 686-3535 Get Directions Write a Review

NPPES record last updated: May 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jared Dicicco-bloom NPPES

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

MR. JARED DICICCO-BLOOM (NPI 1508488172) is an individual mental health provider in New York, New York and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1508488172
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JARED DICICCO-BLOOM
Location Address303 5TH AVE RM 1003New York, NY 10016-6639
Mailing Address1660 Madison Ave Apt 10aNew York, NY 10029-3117 · (609) 651-3578
Sole ProprietorNo
Enumeration DateMay 17, 2020
NPPES CertifiedMay 17, 2020
NPI 1508488172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
303 5TH AVE RM 1003, New York, NY 10016

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
303 5TH AVE RM 1003
NEW YORK, NY 10016
Social Worker (Clinical)
303 5TH AVE RM 1003
NEW YORK, NY 10016
Psychologist (Clinical)
303 5TH AVE RM 1003
NEW YORK, NY 10016

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 Jared Dicicco-bloom's NPI number?

The NPI number for Jared Dicicco-bloom is 1508488172. It was assigned to this individual provider in the NPPES registry on May 17, 2020.

Where is Jared Dicicco-bloom located?

Jared Dicicco-bloom practices at 303 5th Ave Rm 1003, New York, NY 10016. The listed phone number is (212) 686-3535.

What is Jared Dicicco-bloom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jared Dicicco-bloom was last updated on May 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.