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

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