Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. SAMUEL BLUMBERG PH.D.
NPI 1619911013
Psychologist in Saint Louis, MO

Active since June 15, 2006
621 S NEW BALLAS RD, STE 112A, SAINT LOUIS, MO 63141(314) 251-6545(314) 251-5808 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Samuel Blumberg Ph.d. NPPES

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

DR. SAMUEL BLUMBERG PH.D. (NPI 1619911013) is an individual psychologist in Saint Louis, Missouri, licensed in Missouri (01181) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1619911013
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. SAMUEL BLUMBERGCredential: PH.D.
Location Address621 S NEW BALLAS RD, STE 112ASaint Louis, MO 63141-8232
Mailing Address621 S New Ballas Rd, Ste 112aSaint Louis, MO 63141-8232 · (314) 251-6545 · Fax (314) 251-5808
Fax(314) 251-5808
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1619911013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MO · 01181
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

621 S NEW BALLAS RD, Saint Louis, MO 63141

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.

Nurse Practitioner (Women's Health)
621 S NEW BALLAS RD, SUITE 2007B
SAINT LOUIS, MO 63141
Obstetrics & Gynecology
621 S NEW BALLAS RD, SUITE 4005
SAINT LOUIS, MO 63141
Internal Medicine
621 S NEW BALLAS RD, SUITE 3016B
SAINT LOUIS, MO 63141
Psychiatry & Neurology (Psychiatry)
621 S NEW BALLAS RD, SUITE 398A
SAINT LOUIS, MO 63141
Specialist
621 S NEW BALLAS RD, SUITE 419A
SAINT LOUIS, MO 63141
Nutritionist (Nutrition, Education)
621 S NEW BALLAS RD, SUITE 460A
SAINT LOUIS, MO 63141
Physician Assistant
621 S NEW BALLAS RD, SUITE 483A
SAINT LOUIS, MO 63141
Specialist
621 S NEW BALLAS RD, STE 297A
SAINT LOUIS, MO 63141

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 Samuel Blumberg's NPI number?

The NPI number for Samuel Blumberg is 1619911013. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Samuel Blumberg located?

Samuel Blumberg practices at 621 S New Ballas Rd Ste 112A, Saint Louis, MO 63141. The listed phone number is (314) 251-6545.

What is Samuel Blumberg's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Samuel Blumberg was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.