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DR. JEREMY W BLOOMFIELD PSY.D. NPI 1871517672


NPI Information

NPI: 1871517672
Provider Name: DR. JEREMY W BLOOMFIELD, PSY.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
1609 SHERMAN AVE
SUITE 302
EVANSTON, IL
ZIP 60201
Phone: (312) 409-5614
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DR. Jeremy W Bloomfield, PSY.D. is a clinical psychologist in Evanston, IL. The provider is 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. DR. Jeremy W Bloomfield, PSY.D. NPI is 1871517672. 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:

1609 SHERMAN AVE
SUITE 302
EVANSTON, IL
ZIP 60201-753
Phone: (312) 409-5614

The enumeration date for this NPI number is 7/26/2006 and was last updated on 2/23/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologist071-006685ILLINOISNo
2103TP2701XPsychologistGroup Psychotherapy071-006685ILLINOISNo
3103TC0700XPsychologistClinical071-006685ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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