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

Dr. Andrea L Bloomgarden, PHD

Individual provider Clinical Psychologist · NPI 1316983380

Dr. Andrea L Bloomgarden, PHD is a Clinical Psychologist in Philadelphia, Pennsylvania. Qualified in 1991, 35 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Delaware, New York and Pennsylvania.

Years since qualifying
35
Licensed in
DE, NY, PA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

230 S Broad St Ste 1305
Philadelphia, PA 19102-4104
Phone: (215) 545-1175
Fax: (215) 592-4190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS 006943 L (PA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 012038 1 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence B10000498 (DE)

Record details

NPI number1316983380
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 20, 2006
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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