DR. BLAINE CLOUD PH.D.
NPI 1073402590
Clinical Neuropsychologist in Rydal, PA
- Individual
- Male
- Clinical Neuropsychologist
- PECOS Enrolled
About BLAINE CLOUD
This page provides the complete NPI Profile along with additional information for Blaine Cloud, a provider established in Rydal, Pennsylvania with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1073402590 assigned on June 2025. The practitioner's primary taxonomy code is 103G00000X with license number PS008640L (PA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1073402590 Verify this NPI
- Provider Name
- DR. BLAINE CLOUD PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1413 AUTUMN RD RYDAL, PA 19046
- Location Phone
- (267) 625-7480
- Mailing Address
- 1413 AUTUMN RD RYDAL, PA 19046
- Mailing Phone
- (267) 625-7480
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-30-2025
- Last Update Date
- 06-30-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PS008640L
- License State
- PA
- Taxonomy Description
- A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Medicare Participation & PECOS Enrollment Status
Blaine Cloud is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073402590, enumerated as an "individual" on June 30, 2025.
The provider is located at 1413 AUTUMN RD RYDAL, PA 19046 and the phone number is (267) 625-7480.
Clinical Neuropsychologist with taxonomy code 103G00000X.
