DR. MICHELLE ROSE BLUMENTHAL PSY.D. - NPI 1073859211

Q: What is Michelle Blumenthal's NPI number?

The NPI number for Michelle Blumenthal is 1073859211. It was assigned to this individual provider in the NPPES registry on December 17, 2012.

Q: What is Michelle Blumenthal's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Michelle Blumenthal enrolled in Medicare?

No. Michelle Blumenthal has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

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About Dr. Michelle Rose Blumenthal Psy.d. NPPES

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

DR. MICHELLE ROSE BLUMENTHAL PSY.D. (NPI 1073859211) is an individual clinical provider in Rockville, Maryland, licensed in Maryland (05649) and active in the NPI registry since December 2012. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1073859211

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MICHELLE ROSE BLUMENTHALCredential: PSY.D.

Location Address25 WOOD LNRockville, MD 20850-2228

Mailing Address25 Wood LnRockville, MD 20850-2228 · (301) 941-7838

Phone(301) 941-7838

Sole ProprietorYes

Enumeration DateDecember 17, 2012

Last NPPES UpdateAugust 25, 2025

NPPES CertifiedAugust 25, 2025

✔ NPI 1073859211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in MD · 05649✔ Licensed in VA · 0810004666

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

25 WOOD LN, Rockville, MD 20850

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michelle Rose Blumenthal Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RENATA CERQUEIRA FIRE PH.D.

Psychologist