LARRY JAY BLOOM PH.D. NPI 1407878051

NPI Details

Larry Jay Bloom, PH.D. is a health service psychologist in Ft Collins, CO. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). Larry Jay Bloom, PH.D. NPI is 1407878051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

OF PSYCHOLOGY COLORADO STATE UNIVERSITY
FT COLLINS, CO
ZIP 80523-001
Phone: (970) 491-5214

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Psychotherapy, 45 minutes (HCPCS:90834)

The enumeration date for this NPI number is 7/24/2006 and was last updated on 7/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: