Active NPI
Robert Glen Rosenblatt, PH.D.
- Counseling Psychologist
- Washington, DC
National Provider Identifier
1083899231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 1811
- Practice address
- 1010 Wisconsin Ave NW
Suite 505
Washington, DC 20007-3603 - Phone
- (202) 342-1142
- Fax
- (202) 333-2525
- NPI assigned
- Jan 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 1811 | DC | |
| Adult Development & Aging Psychologist | 103TA0700X | 1811 | DC | |
| Clinical Psychologist | 103TC0700X | 2430 | MD | |
| Counseling Psychologist | 103TC1900X | 1811 | DC | Primary |
| Group Psychotherapy Psychologist | 103TP2701X | 1811 | DC |
Addresses
Primary practice location
1010 Wisconsin Ave NW
Suite 505
Washington, DC 20007-3603
Mailing address
1010 Wisconsin Ave NW
Suite 505
Washington, DC 20007-3603
Phone (202) 342-1142
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811 | Other | DC | DC PROFESSIONAL LICENSING |
| 2430 | Other | MD | MARYLAND LICENSING BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 12, 2023 through Apr 12, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2430 | MD | MD | Clinical Psychologist |
| 1811 | DC | MD | Group Psychotherapy Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1083899231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 WISCONSIN AVE NW",
"address_2": "SUITE 505",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200073603",
"telephone_number": "202-342-1142",
"fax_number": "202-333-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 WISCONSIN AVE NW",
"address_2": "SUITE 505",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200073603",
"telephone_number": "202-342-1142",
"fax_number": "202-333-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBLATT",
"first_name": "ROBERT",
"middle_name": "GLEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-07",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "DC",
"license": "1811",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "DC",
"license": "1811",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "2430",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "DC",
"license": "1811",
"primary": true
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "DC",
"license": "1811",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC PROFESSIONAL LICENSING",
"identifier": "1811",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND LICENSING BOARD",
"identifier": "2430",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.