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JESSE SAMUEL GOLDBLUM
NPI 1407637895
Nurse Practitioner - Psychiatric/Mental Health in Hartford, CT

Active since October 11, 2023
1680 ALBANY AVE, HARTFORD, CT 06105(860) 297-0520 Get Directions Write a Review

NPPES record last updated: January 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2025, Oct 11, 2023 (2 updates tracked since 2023).

About Jesse Samuel Goldblum NPPES

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

JESSE SAMUEL GOLDBLUM (NPI 1407637895) is an individual psychiatric/mental health provider in Hartford, Connecticut, licensed in Connecticut (13775) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1407637895
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJESSE SAMUEL GOLDBLUM
Location Address1680 ALBANY AVEHartford, CT 06105-1001
Mailing Address55 Marvel Rd Apt B2New Haven, CT 06515-2169
Phone(860) 297-0520
Sole ProprietorNo
Enumeration DateOctober 11, 2023
Last NPPES UpdateJanuary 4, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2025
✔ NPI 1407637895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CT · 13775
Also ListedRegistered NurseTaxonomy 163W00000X · License 196780 (CT)
1680 ALBANY AVE, Hartford, CT 06105
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Other Providers at the Same Location NPPES 20

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

MS. DANIELLE MARIE LOVE MSW
Counselor
1680 ALBANY AVE
HARTFORD, CT 06105
Capitol Planning Region (860) 236-4511
MARYELLEN THOMSON SCIALLO LCSW
Social Worker (Clinical)
1680 ALBANY AVE
HARTFORD, CT 06105
Capitol Planning Region (860) 236-4511
MRS. SUKRITI KUSHWAHA
Marriage & Family Therapist
1680 ALBANY AVE
HARTFORD, CT 06105
Capitol Planning Region (860) 236-4511
NICKESHA YANIQUE COLEY MFT
Marriage & Family Therapist
1680 ALBANY AVE
HARTFORD, CT 06105
Capitol Planning Region (860) 236-4511
KERRYANN CAMAY ANDERSON BSN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
1680 ALBANY AVE
HARTFORD, CT 06105
Capitol Planning Region (860) 241-2293
QUETCY PENA MSW
Counselor
1680 ALBANY AVE
HARTFORD, CT 06105
Capitol Planning Region (860) 236-4511
MEGHAN FITZGERALD LCSW
Social Worker (Clinical)
1680 ALBANY AVE
HARTFORD, CT 06105
Capitol Planning Region (860) 236-4511
ANNA LORRAINE NORTH APRN
Nurse Practitioner (Psychiatric/Mental Health)
1680 ALBANY AVE
HARTFORD, CT 06105
Capitol Planning Region (860) 236-4511

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 Jesse Goldblum's NPI number?

The NPI number for Jesse Goldblum is 1407637895. It was assigned to this individual provider in the NPPES registry on October 11, 2023.

Where is Jesse Goldblum located?

Jesse Goldblum practices at 1680 Albany Ave, Hartford, CT 06105. The listed phone number is (860) 297-0520.

What is Jesse Goldblum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jesse Goldblum was last updated on January 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.