Ms Jacqueline Leah Bloom-genevitz, PSYD, MFT - in Los Angeles, CA

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Ms Jacqueline Leah Bloom-genevitz, PSYD, MFT is a Marriage & Family Therapist based in Los Angeles, California. Ms Jacqueline Leah Bloom-genevitz is licensed to practice in California (license number MFT 43614) and her current practice location is 12340 Santa Monica Blvd Ste 214, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at (310) 582-1513.

NPI number for Ms Jacqueline Leah Bloom-genevitz is 1073652327 and her current mailing address is 464 S Central Ave, Glendale, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073652327.

Contact Information

Ms Jacqueline Leah Bloom-genevitz, PSYD, MFT
12340 Santa Monica Blvd Ste 214,
Los Angeles, CA 90025
(310) 582-1513
(818) 394-6910

Map and Direction




Healthcare Provider's Profile

Full NameMs Jacqueline Leah Bloom-genevitz
GenderFemale
SpecialityMarriage & Family Therapist
Location12340 Santa Monica Blvd Ste 214, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073652327
  • Provider Enumeration Date: 02/05/2007
  • Last Update Date: 05/19/2022

Medical Identifiers

Medical identifiers for Ms Jacqueline Leah Bloom-genevitz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073652327NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Secondary
106H00000XMarriage & Family Therapist MFT 43614 (California)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. Ms Jacqueline Leah Bloom-genevitz 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 AddressPractice Location Address
Ms Jacqueline Leah Bloom-genevitz, PSYD, MFT
464 S Central Ave,
Glendale, CA 91204-1602

Ph: (310) 582-1513		Ms Jacqueline Leah Bloom-genevitz, PSYD, MFT
12340 Santa Monica Blvd Ste 214,
Los Angeles, CA 90025

Ph: (310) 582-1513

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.