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

Dr. Douglas Randal Bloom, PHD

Individual provider Psychologist · NPI 1417001116

Dr. Douglas Randal Bloom, PHD is a Psychologist in Houston, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
Specialties on file
2
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

6621 Fannin St Ccc 1630.00
Houston, TX 77030-2303
Phone: (832) 822-3700
Fax: (832) 825-4164
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 25782 (TX)
Psychologist Taxonomy 103T00000X · Licence 25782 (TX)

Record details

NPI number1417001116
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 22, 2007
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 10, 2023

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