JESSE SAMUEL GOLDBLUM
NPI 1407637895
Nurse Practitioner - Psychiatric/Mental Health in Hartford, CT
NPI Status: Active since October 11, 2023
Contact Information
1680 ALBANY AVE
HARTFORD, CT
ZIP 06105
Phone: (860) 297-0520
- Individual
- Male
- Nurse Practitioner
- Psychiatric/Mental Health
About JESSE GOLDBLUM
This page provides the complete NPI Profile along with additional information for Jesse Goldblum, a provider established in Hartford, Connecticut with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1407637895 assigned on October 2023. The practitioner's primary taxonomy code is 363LP0808X with license number 13775 (CT). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1407637895
- Provider Name
- JESSE SAMUEL GOLDBLUM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1680 ALBANY AVE HARTFORD, CT 06105
- Location Phone
- (860) 297-0520
- Mailing Address
- 55 MARVEL RD APT B2 NEW HAVEN, CT 06515
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-11-2023
- Last Update Date
- 01-04-2025
- Code Navigator
A nurse practitioner (NP) like Jesse Goldblum is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
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
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 13775
- License State
- CT
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | 196780 (CT) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 0 | 7 | 6 | 3 | 7 | 8 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 0 | 7 | 12 | 3 | 14 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 0 + 7 + 1 + 2 + 3 + 1 + 4 + 8 + 1 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1407637895 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
KARRIE L ELLIS APRN
Nurse Practitioner
1680 ALBANY AVE
HARTFORD, CT
ZIP 06105
MARYELLEN THOMSON SCIALLO LCSW
Social Worker
(Clinical)
1680 ALBANY AVE
HARTFORD, CT
ZIP 06105
DR. SAMYA HASHEM HAWLEY MD
Psychiatry & Neurology
(Child & Adolescent Psychiatry)
1680 ALBANY AVE
HARTFORD, CT
ZIP 06105
ERIKA DE JESUS BS
Counselor
(Mental Health)
1680 ALBANY AVE
HARTFORD, CT
ZIP 06105
MR. JOHN IMRE BENYEI B.S
Student in an Organized Health Care Education/Training Program
1680 ALBANY AVE
HARTFORD, CT
ZIP 06105
CHRISTINA COUTRAS MSW
Counselor
1680 ALBANY AVE
HARTFORD, CT
ZIP 06105
HOPE ALICIA BAKER RN
Registered Nurse
(Psychiatric/Mental Health, Child & Adolescent)
1680 ALBANY AVE
HARTFORD, CT
ZIP 06105
MISS ELIZABETH OREJUELA RN
Registered Nurse
(Psychiatric/Mental Health, Child & Adolescent)
1680 ALBANY AVE
HARTFORD, CT
ZIP 06105
JAQUANDA LAKIA BENTLEY A.S., B.A., MSW
Counselor
1680 ALBANY AVE
HARTFORD, CT
ZIP 06105
VILLAGE FOR FAMILIES AND CHILDREN
Marriage & Family Therapist
1680 ALBANY AVE
HARTFORD, CT
ZIP 06105
MRS. SUKRITI KUSHWAHA
Marriage & Family Therapist
1680 ALBANY AVE
HARTFORD, CT
ZIP 06105
MELISSA WHITE LCSW
Social Worker
(Clinical)
1680 ALBANY AVE
HARTFORD, CT
ZIP 06105
MS. IRAIDA GRISSELLE GARCIA MSW
Counselor
1680 ALBANY AVE
HARTFORD, CT
ZIP 06105
MRS. THERESA JEANNE CERBONE LCSW
Social Worker
(Clinical)
1680 ALBANY AVE
HARTFORD, CT
ZIP 06105
MR. BRANDON PATRICK COX RN
Registered Nurse
(Psychiatric/Mental Health, Child & Adolescent)
1680 ALBANY AVE
HARTFORD, CT
ZIP 06105
LATOIYA TEAONNA ROBINSON MSW
Counselor
1680 ALBANY AVE
HARTFORD, CT
ZIP 06105
JAQUOI MARQUIS BELIN
Counselor
1680 ALBANY AVE
HARTFORD, CT
ZIP 06105
NYDIA M MASSEY MSW
Counselor
1680 ALBANY AVE
HARTFORD, CT
ZIP 06105
JESSICA D'ANGELO
Marriage & Family Therapist
1680 ALBANY AVE
HARTFORD, CT
ZIP 06105
MS. LILY GILL LMFT
Marriage & Family Therapist
1680 ALBANY AVE
HARTFORD, CT
ZIP 06105
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407637895, enumerated as an "individual" on October 11, 2023.
The provider is located at 1680 ALBANY AVE HARTFORD, CT 06105 and the phone number is (860) 297-0520.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
