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DR. LISA CAREN BLUM PSY.D.
NPI 1508903022
Psychologist - Clinical in Pasadena, CA

Active since January 31, 2007Opted out of Medicare · through Mar 11, 2028
95 N MARENGO AVE, SUITE 200, PASADENA, CA 91101(323) 633-6138(626) 585-0440 Get Directions Write a Review

NPPES record last updated: July 19, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lisa Caren Blum Psy.d. NPPES

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

DR. LISA CAREN BLUM PSY.D. (NPI 1508903022) is an individual clinical provider in Pasadena, California, licensed in California (PSY 19790) and active in the NPI registry since January 2007. She has opted out of Medicare through March 11, 2028.

NPPES Registry Identity

NPI1508903022
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LISA CAREN BLUMCredential: PSY.D.
Location Address95 N MARENGO AVE, SUITE 200Pasadena, CA 91101-1764
Mailing Address95 N Marengo Ave, Suite 200Pasadena, CA 91101-1764 · (323) 633-6138 · Fax (626) 585-0440
Phone(323) 633-6138
Fax(626) 585-0440
Sole ProprietorYes
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 19, 2011
✔ NPI 1508903022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY 19790
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.
95 N MARENGO AVE, Pasadena, CA 91101
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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. Lisa Caren Blum 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 March 11, 2024 through March 11, 2028.

Opt-Out Effective DateMarch 11, 2024
Opt-Out In Effect ThroughMarch 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 18

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

STEPHANY TRITT PT
Physical Therapist
95 N MARENGO AVE
PASADENA, CA 91101
Los Angeles County (626) 776-0075
DR. DEBORAH K BUCKWALTER PH.D.
Psychologist (Clinical)
95 N MARENGO AVE, SUITE 200
PASADENA, CA 91101
Los Angeles County (626) 644-1454
MISS ANNA MARIE ROSSI M.A./MFT
Marriage & Family Therapist
95 N MARENGO AVE, SUITE 100
PASADENA, CA 91101
Los Angeles County (626) 585-8075
FOOTHILL PHYSICAL THERAPY PC
Physical Therapist (Orthopedic)
95 N MARENGO AVE
PASADENA, CA 91101
Los Angeles County (626) 776-0075
SONIA NIKORE
Marriage & Family Therapist
95 N MARENGO AVE, SUITE 100
PASADENA, CA 91101
Los Angeles County (626) 585-8075
DR. ASHLEE SCOTT REID PHD
Psychologist
95 N MARENGO AVE
PASADENA, CA 91101
Los Angeles County (626) 585-8075
MR. DOUGLAS CRAIG THOMAS LCSW
Social Worker (Clinical)
95 N MARENGO AVE, SUITE 200
PASADENA, CA 91101
Los Angeles County (626) 524-2406
DR. DANIELLE NEDDO PSY.D.
Psychologist
95 N MARENGO AVE, SUITE 100
PASADENA, CA 91101
Los Angeles County (626) 585-8075

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 Lisa Blum's NPI number?

The NPI number for Lisa Blum is 1508903022. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Lisa Blum located?

Lisa Blum practices at 95 N Marengo Ave Suite 200, Pasadena, CA 91101. The listed phone number is (323) 633-6138.

What is Lisa Blum's specialty?

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

Is Lisa Blum enrolled in Medicare?

No. Lisa Blum has opted out of Medicare through March 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lisa Blum was last updated on July 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.