Dr Tina Bloom, PHD is a
Psychologist based in Brooklyn, New York. Dr Tina Bloom is licensed to practice in New York (license number 020552-1) and her current practice location is
3512 Quentin Rd Suite 110 Che Services, Brooklyn, New York. She can be reached at her office (for appointments etc.) via phone at
(800) 275-3243.
NPI number for Dr Tina Bloom is 1437301710 and her current mailing address is 86 Aurora Ave, West Seneca, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437301710.
Healthcare Provider's Profile
| Full Name | Dr Tina Bloom |
|---|
| Gender | Female |
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| Speciality | Psychologist |
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| Location | 3512 Quentin Rd Suite 110 Che Services, Brooklyn, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437301710
- Provider Enumeration Date: 10/17/2008
- Last Update Date: 09/25/2018
Medical Identifiers
Medical identifiers for Dr Tina Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437301710 | NPI | - | NPPES |
| PC - 004932 | Other | PA | LICENSED PROFESSIONAL COUNSELOR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | PC - 004932 (Pennsylvania) | Secondary |
| 103T00000X | Psychologist | 020552-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tina Bloom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Tina Bloom, PHD
86 Aurora Ave,
West Seneca, NY 14224-1123
Ph: (814) 227-6376 | Dr Tina Bloom, PHD
3512 Quentin Rd Suite 110 Che Services,
Brooklyn, NY 11234
Ph: (800) 275-3243 |
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