JENNIFER BLUM PSYD LICENSED PSYCHOLOGIST PC
NPI 1639543390
Psychologist - Clinical in Santa Rosa, CA

Active since November 18, 2015
1144 SONOMA AVE STE 104, SANTA ROSA, CA 95405(707) 331-4769 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Blum Psyd Licensed Psychologist Pc NPPES

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

JENNIFER BLUM PSYD LICENSED PSYCHOLOGIST PC (NPI 1639543390) is a healthcare organization registered as a clinical in Santa Rosa, California and active in the NPI registry since November 2015. The organization lists Jennifer Blum, Owner, as its authorized official.

NPPES Registry Identity

NPI1639543390
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameJENNIFER BLUM PSYD LICENSED PSYCHOLOGIST PC
Location Address1144 SONOMA AVE STE 104Santa Rosa, CA 95405-4812
Mailing Address484 Cornish LnAngwin, CA 94508-9736 · (707) 331-4769
Organization SubpartNo
Authorized OfficialJennifer BlumOwner · (707) 331-4769
Enumeration DateNovember 18, 2015
NPI 1639543390 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 · 27164
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.
1144 SONOMA AVE STE 104, Santa Rosa, CA 95405

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Marriage & Family Therapist
1144 SONOMA AVE STE 104
SANTA ROSA, CA 95405
Family Medicine
1144 SONOMA AVE STE 104
SANTA ROSA, CA 95405
Marriage & Family Therapist
1144 SONOMA AVE STE 104
SANTA ROSA, CA 95405
Marriage & Family Therapist
1144 SONOMA AVE STE 104
SANTA ROSA, CA 95405
Psychologist (Clinical)
1144 SONOMA AVE STE 104
SANTA ROSA, CA 95405
Family Medicine
1144 SONOMA AVE STE 104
SANTA ROSA, CA 95405

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 Jennifer Blum Psyd Licensed Psychologist PC's NPI number?

The NPI number for Jennifer Blum Psyd Licensed Psychologist PC is 1639543390. It was assigned to this organization in the NPPES registry on November 18, 2015.

Where is Jennifer Blum Psyd Licensed Psychologist PC located?

Jennifer Blum Psyd Licensed Psychologist PC is located at 1144 Sonoma Ave Ste 104, Santa Rosa, CA 95405. The listed phone number is (707) 331-4769.

What is Jennifer Blum Psyd Licensed Psychologist PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer Blum Psyd Licensed Psychologist PC was last updated on November 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.