DR. AUDREY BLOOM PH.D.
NPI 1922187376
Psychologist in Duluth, GA

Active since November 06, 2006
10475 MEDLOCK BRIDGE RD, BUILDING 300, SUITE 315, DULUTH, GA 30097(678) 935-9567(678) 935-9568 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Audrey Bloom Ph.d. NPPES

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

DR. AUDREY BLOOM PH.D. (NPI 1922187376) is an individual psychologist in Duluth, Georgia, licensed in Georgia (PSY001866) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1922187376
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. AUDREY BLOOMCredential: PH.D.
Location Address10475 MEDLOCK BRIDGE RD, BUILDING 300, SUITE 315Duluth, GA 30097-2002
Mailing Address9555 Fenbrook CtAlpharetta, GA 30022-5106
Fax(678) 935-9568
Sole ProprietorYes
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1922187376 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 · PSY001866
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.

10475 MEDLOCK BRIDGE RD, Duluth, GA 30097

Other Providers at the Same Location NPPES 20

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

Chiropractor
10475 MEDLOCK BRIDGE RD, SUITE #810
DULUTH, GA 30097
Psychologist (Clinical)
10475 MEDLOCK BRIDGE RD, BUILDING 300, SUITE 315
JOHNS CREEK, GA 30097
Nurse Practitioner
10475 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 30097
Family Medicine
10475 MEDLOCK BRIDGE RD, SUITE 815
JOHNS CREEK, GA 30097
Clinic/Center (Adult Mental Health)
10475 MEDLOCK BRIDGE RD, BUILDING 300, SUITE 315
JOHNS CREEK, GA 30097
Psychologist (Clinical)
10475 MEDLOCK BRIDGE RD, SUITE 315
JOHNS CREEK, GA 30097
Psychologist (Clinical)
10475 MEDLOCK BRIDGE RD, BUILDING 300, SUITE 315
JOHNS CREEK, GA 30097
Dentist (Orthodontics and Dentofacial Orthopedics)
10475 MEDLOCK BRIDGE RD, SUITE 114
JOHNS CREEK, GA 30097

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 Audrey Bloom's NPI number?

The NPI number for Audrey Bloom is 1922187376. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Audrey Bloom located?

Audrey Bloom practices at 10475 Medlock Bridge Rd Building 300, Suite 315, Duluth, GA 30097. The listed phone number is (678) 935-9567.

What is Audrey Bloom's specialty?

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

When was this NPI record last updated?

The NPPES record for Audrey Bloom was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.