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RAY M ROSENBLOOM PH.D.
NPI 1124196985
Psychologist - Clinical in Austin, TX

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
1114 LOST CREEK BLVD STE 320, AUSTIN, TX 78746(512) 983-6816(512) 858-2053 Get Directions Write a Review

NPPES record last updated: August 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ray M Rosenbloom Ph.d. NPPES

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

RAY M ROSENBLOOM PH.D. (NPI 1124196985) is an individual clinical provider in Austin, Texas, licensed in Texas (33167) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Troy, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1124196985
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameRAY M ROSENBLOOMCredential: PH.D.
Location Address1114 LOST CREEK BLVD STE 320Austin, TX 78746
Mailing Address1810 Deerfield RdDripping Springs, TX 78620-4224 · (512) 983-6816 · Fax (512) 858-2053
Phone(512) 983-6816
Fax(512) 858-2053
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateDecember 1, 2006
Last NPPES UpdateAugust 4, 2019
✔ NPI 1124196985 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 TX · 33167✔ Licensed in MI · 6301002325
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.
1114 LOST CREEK BLVD STE 320, Austin, TX 78746
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Secondary Practice Location 1

Location 15800 Sussex DrTroy, MI 48098-2359 · Phone (512) 983-6816 · Fax (512) 983-6816

Other Identifiers 2

Other11287287Caqh
Other620F34837MI · Blue Cross Blue Shield Mi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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

Ray M Rosenbloom 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 ID9032291836
PECOS Enrollment IDI20160610000744
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78746 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$174.00 typical visit price
range $57.88 – $174.00
Typical copayment $43.50 (range $14.47 – $43.50)
Most-billed visit code 99205
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ray Rosenbloom's NPI number?

The NPI number for Ray Rosenbloom is 1124196985. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Ray Rosenbloom located?

Ray Rosenbloom practices at 1114 Lost Creek Blvd Ste 320, Austin, TX 78746. The listed phone number is (512) 983-6816.

What is Ray Rosenbloom's specialty?

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

Is Ray Rosenbloom enrolled in Medicare?

Yes. Ray Rosenbloom 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.

What insurance does Ray Rosenbloom accept?

Health plans from Blue Cross and Blue Shield of Texas list Ray Rosenbloom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ray Rosenbloom was last updated on August 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.