PAULA NICOLE BLOOM PSYD
NPI 1689897746
Psychologist in Mcdonough, GA

Active since April 10, 2007PECOS Enrolled
1125 TOWN CENTER VILLAGE DR, KAISER PERMANENTE HENRY TOWNE CENTRE MEDICAL CENTER, MCDONOUGH, GA 30253(770) 496-3414 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 13, 2022, Mar 14, 2017 (2 updates tracked since 2017).

About Paula Nicole Bloom Psyd NPPES

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

PAULA NICOLE BLOOM PSYD (NPI 1689897746) is an individual psychologist in Mcdonough, Georgia, licensed in Georgia (PSY002777) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689897746
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NamePAULA NICOLE BLOOMCredential: PSYD
Location Address1125 TOWN CENTER VILLAGE DR, KAISER PERMANENTE HENRY TOWNE CENTRE MEDICAL CENTERMcdonough, GA 30253-5970
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 504-5678
Sole ProprietorNo
Enumeration DateApril 10, 2007
Last NPPES UpdateJanuary 13, 20222 updates tracked since enumeration
NPI 1689897746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in GA · PSY002777
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1125 TOWN CENTER VILLAGE DR, Mcdonough, GA 30253

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Paula Nicole Bloom Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 9

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1125 TOWN CENTER VILLAGE DR
MCDONOUGH, GA 30253
Clinical Medical Laboratory
1125 TOWN CENTER VILLAGE DR
MCDONOUGH, GA 30253
Pharmacy (Managed Care Organization Pharmacy)
1125 TOWN CENTER VILLAGE DR
MCDONOUGH, GA 30253
Family Medicine
1125 TOWN CENTER VILLAGE DR, KAISER PERMANENTE HENRY TOWNE CENTRE MEDICAL CENTER
MCDONOUGH, GA 30253
Family Medicine
1125 TOWN CENTER VILLAGE DR
MCDONOUGH, GA 30253
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1125 TOWN CENTER VILLAGE DR
MCDONOUGH, GA 30253
Nurse Practitioner (Adult Health)
1125 TOWN CENTER VILLAGE DR, KAISER PERMANENTE TOWNE CENTRE MEDICAL CENTER
MCDONOUGH, GA 30253
Nurse Practitioner (Pediatrics)
1125 TOWN CENTER VILLAGE DR, KAISER PERMANETE HENRY TOWNE CENTRE MEDICAL CENTER
MCDONOUGH, GA 30253

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 Paula Bloom's NPI number?

The NPI number for Paula Bloom is 1689897746. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Paula Bloom located?

Paula Bloom practices at 1125 Town Center Village Dr Kaiser Permanente Henry Towne Centre Medical Center, Mcdonough, GA 30253. The listed phone number is (770) 496-3414.

What is Paula Bloom's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Paula Bloom enrolled in Medicare?

Yes. Paula Bloom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paula Bloom was last updated on January 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.