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

Michael V Bloom, PHD

Individual provider Psychologist · NPI 1477530392

Michael V Bloom, PHD is a Psychologist in Portage, Michigan. Licensed in South Dakota. Registered with an NPI since 2005.

Licensed in
SD
In the registry since
2005
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

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 · Licence 109 (SD)

Record details

NPI number1477530392
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedDecember 30, 2005
Last updated in NPPESSeptember 17, 2019
Mailing addressPo Box 3272, Saginaw, MI 48605-3272

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