Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922187376 Individual Practitioner Female Practitioner

Dr. Audrey Bloom , PhD

Psychologist • Duluth, GA

Professional Overview & Biography Verified Profile Summary

Dr. Audrey Bloom, PhD is a registered healthcare professional specializing in Psychologist in Duluth, GA. Practice services are available at 10475 MEDLOCK BRIDGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10475 Medlock Bridge Rd
Building 300, Suite 315

Duluth, GA 300972002

Telephone 6789359567
Fax 6789359568
Associated Practice Facility / Clinic
🏢 Ivy Falls Family Medicine Facility NPI 1922118595

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Duluth, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
12 Specialists

Practicing in Duluth, GA (941 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License GA PSY001866

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Yoshitaro Oba

Psychologist

NPI 1265950851
Dr. Lorna Benbenisty , PhD

Psychologist - Clinical

NPI 1326108820

Doctor of Philosophy (Ph.D.)

Dr. Saori Maruyama , PhD

Psychologist - Clinical

NPI 1326282021

Doctor of Philosophy (Ph.D.)

Diane Sperry

Psychologist - Clinical

NPI 1649445206
Dr. Sonja Contin , PsyD

Clinical Neuropsychologist

NPI 1720220361

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 10475 MEDLOCK BRIDGE RD, BUILDING 300, SUITE 315, DULUTH, GA 300972002 (Tel: 6789359567)

📍
Updated Business Mailing Address July 09, 2007

Registered at 9555 FENBROOK CT, ALPHARETTA, GA 300225106

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as AUDREY BLOOM, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Psychologist (License #PSY001866 in GA)

🟢
Initial NPI Registration & Enumeration November 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922187376
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

9555 Fenbrook Ct

Alpharetta, GA 300225106

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.