Individual provider Active NPI

Carey Alan Bluhm, PH.D.

  • Clinical Psychologist
  • Keene, NH
National Provider Identifier
1134283914
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
745 Issued in NH
Practice address
196 Washington St
Keene, NH 03431-3113
Phone
(603) 357-3848
Fax
(603) 357-4087
NPI assigned
Dec 19, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 745 NH Primary

Addresses

Primary practice location

196 Washington St
Keene, NH 03431-3113

Mailing address

196 Washington St
Keene, NH 03431-3113
Phone (603) 357-3848

Other identifiers 1

IdentifierTypeStateIssuer
80062164MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041020000437 NH Practitioner - Clinical Psychologist 3072574441 Practice locations: Keene, NH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Kentucky College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

44 W Surry Rd
Keene, NH 03431-4944
Phone (603) 439-1073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
745NHMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1134283914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 WASHINGTON ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313113",
            "telephone_number": "603-357-3848",
            "fax_number": "603-357-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 WASHINGTON ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313113",
            "telephone_number": "603-357-3848",
            "fax_number": "603-357-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUHM",
        "first_name": "CAREY",
        "middle_name": "ALAN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80062164",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.