DR. ELISABETH BLOOM PSY.D.
NPI 1902246010
Psychologist - Clinical in Portland, OR

Active since July 03, 2013
2330 NW FLANDERS ST STE 107, PORTLAND, OR 97210(917) 727-0825 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2024, Dec 16, 2023, Jan 14, 2023 and 3 more (6 updates tracked since 2020).

About Dr. Elisabeth Bloom Psy.d. NPPES

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

DR. ELISABETH BLOOM PSY.D. (NPI 1902246010) is an individual clinical provider in Portland, Oregon, licensed in Oregon (3072) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1902246010
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ELISABETH BLOOMCredential: PSY.D.
Location Address2330 NW FLANDERS ST STE 107Portland, OR 97210-3400
Mailing Address2330 Nw Flanders St Ste 107Portland, OR 97210-3400 · (917) 727-0825
Sole ProprietorYes
Enumeration DateJuly 3, 2013
Last NPPES UpdateApril 22, 20246 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
NPI 1902246010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in OR · 3072 Licensed in WA · 61425975 Licensed in NY · 021321
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.
2330 NW FLANDERS ST STE 107, Portland, OR 97210

Other Providers at the Same Location NPPES

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

Community/Behavioral Health
2330 NW FLANDERS ST STE 107
PORTLAND, OR 97210

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 Elisabeth Bloom's NPI number?

The NPI number for Elisabeth Bloom is 1902246010. It was assigned to this individual provider in the NPPES registry on July 3, 2013.

Where is Elisabeth Bloom located?

Elisabeth Bloom practices at 2330 NW Flanders St Ste 107, Portland, OR 97210. The listed phone number is (917) 727-0825.

What is Elisabeth Bloom's specialty?

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

When was this NPI record last updated?

The NPPES record for Elisabeth Bloom was last updated on April 22, 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.