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DR. SALLY BLOOM-FESHBACH PH.D.
NPI 1912120064
Psychologist - Clinical in Washington, DC

Active since April 10, 2007Opted out of Medicare · through Oct 1, 2027
1301 20TH ST NW, SUITE 608, WASHINGTON, DC 20036(202) 293-1036 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sally Bloom-feshbach Ph.d. NPPES

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

DR. SALLY BLOOM-FESHBACH PH.D. (NPI 1912120064) is an individual clinical provider in Washington, District Of Columbia, licensed in District Of Columbia (PSY1176) and active in the NPI registry since April 2007. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1912120064
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SALLY BLOOM-FESHBACHCredential: PH.D.
Location Address1301 20TH ST NW, SUITE 608Washington, DC 20036-6023
Mailing Address1301 20th St Nw, Suite 608Washington, DC 20036-6023 · (202) 293-1036
Phone(202) 293-1036
Sole ProprietorYes
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912120064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in DC · PSY1176
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.
1301 20TH ST NW, Washington, DC 20036
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Other Names 1

Other Name (5)Sally Evans

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Sally Bloom-feshbach Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2019 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2019
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sally Bloom-feshbach's NPI number?

The NPI number for Sally Bloom-feshbach is 1912120064. It was assigned to this individual provider in the NPPES registry on April 10, 2007. The provider is also known as Sally Evans.

Where is Sally Bloom-feshbach located?

Sally Bloom-feshbach practices at 1301 20th St NW Suite 608, Washington, DC 20036. The listed phone number is (202) 293-1036.

What is Sally Bloom-feshbach's specialty?

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

Is Sally Bloom-feshbach enrolled in Medicare?

No. Sally Bloom-feshbach has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sally Bloom-feshbach was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.