Douglass R. Bloomfield, Ph.D., P.C.

LBN: Douglass R. Bloomfield, Ph.D., P.C.
Douglass R. Bloomfield, Ph.D., P.C. is an health care organization with primary practice located at 5821 Staples Mill Rd , Richmond VA 23228-5427. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty. Douglass R. Bloomfield, Ph.D., P.C. can be contacted via phone (804) 264-0966, or through Bloomfield, Douglass R via phone (804) 264-0966.

Contact Information

Primary practice address
5821 Staples Mill Rd Richmond VA 23228-5427
Phone: (804) 264-0966
Fax: (804) 264-1029
Website:
Map and Directions
Authorized official contact:
Name: Bloomfield, Douglass R PH.D.
Phone: (804) 264-0966

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 0810000979 Virginia

Profile Details

NPI number 1548532617
LBN Legal business name Douglass R. Bloomfield, Ph.D., P.C.
DBA Doing business as
Authorized official Bloomfield, Douglass R PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2012
Last updated Feb 3rd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548532617 NPPES
Virginia MEDICAID 007758715

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