Jennifer Blum Psyd Licensed Psychologist PC
NPI 1639543390 · Clinical Psychologist · Santa Rosa, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Blum Psyd Licensed Psychologist PC is a Clinical Psychologist organization in Santa Rosa, CA (NPI 1639543390).
Provider details
- NPI number
- 1639543390
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Blum, Owner(707) 331-4769
- License
- 27164 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Registry dates
- Enumerated
- 2015-11-18
- Last updated
- 2015-11-18
Frequently asked questions
- What is Jennifer Blum Psyd Licensed Psychologist PC's NPI number?
- Jennifer Blum Psyd Licensed Psychologist PC's National Provider Identifier (NPI) is 1639543390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jennifer Blum Psyd Licensed Psychologist PC?
- Jennifer Blum Psyd Licensed Psychologist PC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jennifer Blum Psyd Licensed Psychologist PC located?
- Jennifer Blum Psyd Licensed Psychologist PC's practice location on file with NPPES is 1144 Sonoma Ave Ste 104, Santa Rosa, CA 95405-4812.
- What is Jennifer Blum Psyd Licensed Psychologist PC's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Blum Psyd Licensed Psychologist PC is (707) 331-4769.
- Does Jennifer Blum Psyd Licensed Psychologist PC accept Medicare?
- Jennifer Blum Psyd Licensed Psychologist PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jennifer Blum Psyd Licensed Psychologist PC?
- The authorized official listed on Jennifer Blum Psyd Licensed Psychologist PC's NPPES record is Jennifer Blum, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jennifer Blum Psyd Licensed Psychologist PC's NPI active?
- Yes — Jennifer Blum Psyd Licensed Psychologist PC's NPI (1639543390) is active in the NPPES registry as of the last update on 2015-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.