What is Stanley Blom's NPI number?

Stanley Blom's National Provider Identifier (NPI) is 1538119912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Stanley Blom's specialty?

Stanley Blom is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).

Where is Stanley Blom located?

Stanley Blom's practice location on file with NPPES is 150 W Angela Blvd, South Bend, IN 46617-1101.

What is Stanley Blom's phone number?

The practice phone number listed in the NPPES registry for Stanley Blom is (574) 251-1286.

Is Stanley Blom's NPI active?

Yes — Stanley Blom's NPI (1538119912) is active in the NPPES registry as of the last update on 2019-08-12.

IndividualActive

Stanley Blom, PH.D.

NPI 1538119912 · Clinical Psychologist · South Bend, IN

Stanley Blom, PH.D. is a Clinical Psychologist provider in South Bend, IN (NPI 1538119912).

Provider details

NPI number: 1538119912
Entity type: Individual
Primary specialty: Clinical PsychologistBehavioral Health & Social Service Providers
Credential: PH.D.
Sex: Male
Sole proprietor: Yes
License: 20040666A (IN)

Specialties & taxonomies

Clinical PsychologistPrimary103TC0700XLicense 20040666A (IN)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

150 W Angela Blvd

South Bend, IN 46617-1101

Phone: (574) 251-1286

Fax: (574) 232-5386

Street-level locationGet directions

Mailing address