Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477530392 Individual Practitioner Male Practitioner

Dr. Michael V Bloom , PhD

Psychologist • Portage, MI

Professional Overview & Biography Verified Profile Summary

Dr. Michael Bloom, PhD is a registered healthcare professional specializing in Psychologist in Portage, MI. Practice services are available at 7920 KIRKLAND CT under active NPI credentials.

Frequently performed procedures and clinical services include psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7920 Kirkland Ct

Portage, MI 490244974

Telephone 2693450669
Fax 2693455354
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Portage, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.3 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
30 Specialists

Practicing in Portage, MI (2669 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
14.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90791 Psychiatric diagnostic evaluation
17 17 $197.06 $167.76

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License SD 109

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
6550540 (SD)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Pamela Kloosterman , OTR

Occupational Therapist

NPI 1134451073

Occupational Therapist Registered

Carrie Burnett , RN

Registered Nurse - Pain Management

NPI 1295981744

Registered Nurse

Bethany Swartz , OTRL

Occupational Therapist

NPI 1477119444

Occupational Therapist Registered & Licensed

Kelly Schuring , OT

Occupational Therapist

NPI 1558592378

Occupational Therapist

Diane Winnell , RN

Registered Nurse - Pain Management

NPI 1649426198

Registered Nurse

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 17, 2019

Registered at 7920 KIRKLAND CT, PORTAGE, MI 490244974 (Tel: 2693450669)

📍
Updated Business Mailing Address September 17, 2019

Registered at PO BOX 3272, SAGINAW, MI 486053272 (Tel: 9897971400)

NPI Profile Active January 29, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location January 29, 2008

Registered at 1115 E 20TH ST, SIOUX FALLS, SD 571051013 (Tel: 6053391783)

📍
Updated Business Mailing Address January 29, 2008

Registered at 1115 E 20TH ST, SIOUX FALLS, SD 571051013 (Tel: 6053391783)

👤
Provider Name / Credentials Updated January 29, 2008

Recorded as MICHAEL BLOOM, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2008

Psychologist (License #109 in SD)

🟢
Initial NPI Registration & Enumeration December 30, 2005

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: 1477530392
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 30, 2005
Last Update: September 17, 2019
Sole Proprietor: No

Mailing Address

Po Box 3272

Saginaw, MI 486053272

Phone: 9897971400

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.