MIRELLE D. BLOCH, PSY.D., LLC
NPI 1700644655
Psychologist - Clinical in Evanston, IL

Q: What is Mirelle D. Bloch, Psy.D., LLC's NPI number?

The NPI number for Mirelle D. Bloch, Psy.D., LLC is 1700644655. It was assigned to this organization in the NPPES registry on March 6, 2024.

Q: What is Mirelle D. Bloch, Psy.D., LLC's specialty?

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

Active since March 06, 2024

1328 GREENLEAF ST UNIT 4, EVANSTON, IL 60202(872) 226-2313(312) 312-9675 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mirelle D. Bloch, Psy.d., Llc NPPES

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

MIRELLE D. BLOCH, PSY.D., LLC (NPI 1700644655) is a healthcare organization registered as a clinical in Evanston, Illinois and active in the NPI registry since March 2024. The organization lists Mirelle D Bloch, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1700644655

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameMIRELLE D. BLOCH, PSY.D., LLC

Location Address1328 GREENLEAF ST UNIT 4Evanston, IL 60202-1153

Mailing Address1328 Greenleaf St Unit 4Evanston, IL 60202-1153 · (872) 226-2313 · Fax (312) 312-9675

Phone(872) 226-2313

Fax(312) 312-9675

Organization SubpartNo

Authorized OfficialMirelle D BlochClinical Psychologist · (872) 226-2313

Enumeration DateMarch 6, 2024

NPPES CertifiedMarch 6, 2024

✔ NPI 1700644655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

1328 GREENLEAF ST UNIT 4, Evanston, IL 60202

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mirelle D. Bloch, Psy.d., Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mirelle D. Bloch, Psy.D., LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mirelle Bloch, PSYD

Clinical Psychologist

NPI 1881236917

4305 N LINCOLN AVE STE A
Chicago, IL 60618

(872) 226-2313

✔ PECOS✔ Accepts Medicare5.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mirelle D. Bloch, Psy.D., LLC's NPI number?

The NPI number for Mirelle D. Bloch, Psy.D., LLC is 1700644655. It was assigned to this organization in the NPPES registry on March 6, 2024.

Where is Mirelle D. Bloch, Psy.D., LLC located?

Mirelle D. Bloch, Psy.D., LLC is located at 1328 Greenleaf St Unit 4, Evanston, IL 60202. The listed phone number is (872) 226-2313.

What is Mirelle D. Bloch, Psy.D., LLC's specialty?

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

Is Mirelle D. Bloch, Psy.D., LLC enrolled in Medicare?

Yes. Mirelle D. Bloch, Psy.D., LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mirelle D. Bloch, Psy.D., LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mirelle D. Bloch, Psy.D., LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mirelle D. Bloch, Psy.D., LLC was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.