Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael V Bloom PHD LLC

Organization Psychologist · NPI 1073163580

Michael V Bloom PHD LLC is a Psychologist in Portage, Michigan. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7920 Kirkland Ct
Portage, MI 49024-4974
Phone: (269) 345-0669
Fax: (269) 345-5354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1073163580
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bloom — Psychologist · (269) 345-0669
NPI enumeratedSeptember 17, 2019
Last updated in NPPESSeptember 25, 2020
Certification dateSeptember 25, 2020
Mailing addressPo Box 3272, Saginaw, MI 48605-3272

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