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DR. BLAINE CLOUD PH.D.
NPI 1073402590
Clinical Neuropsychologist in Rydal, PA

Active since June 30, 2025PECOS EnrolledAccepts Medicare Assignment
1413 AUTUMN RD, RYDAL, PA 19046(267) 625-7480 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Blaine Cloud Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BLAINE CLOUD PH.D. (NPI 1073402590) is an individual clinical neuropsychologist in Rydal, Pennsylvania, licensed in Pennsylvania (PS008640L) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (1996).

NPPES Registry Identity

NPI1073402590
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. BLAINE CLOUDCredential: PH.D.
Location Address1413 AUTUMN RDRydal, PA 19046-2310
Mailing Address1413 Autumn RdRydal, PA 19046-2310 · (267) 625-7480
Phone(267) 625-7480
Sole ProprietorYes
Medical School CMSDrexel University College Of MedicineGraduated 1996
Enumeration DateJune 30, 2025
NPPES CertifiedJune 30, 2025
✔ NPI 1073402590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in PA · PS008640L
Definition
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.
1413 AUTUMN RD, Rydal, PA 19046
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Blaine Cloud Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840781175
PECOS Enrollment IDI20251114002459
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blaine Cloud's NPI number?

The NPI number for Blaine Cloud is 1073402590. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Where is Blaine Cloud located?

Blaine Cloud practices at 1413 Autumn Rd, Rydal, PA 19046. The listed phone number is (267) 625-7480.

What is Blaine Cloud's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Blaine Cloud enrolled in Medicare?

Yes. Blaine Cloud is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Blaine Cloud was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.