Marlene Moss Blumenthal, PH.D.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SP265 Issued in OH

Practice address

21403 Chagrin Blvd
#210
Beachwood, OH 44122-5322

Phone

(216) 751-1007

Fax

(216) 464-5224

NPI assigned

Mar 14, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1236988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236988800000",
    "number": "1215178637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21403 CHAGRIN BLVD",
            "address_2": "#210",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225322",
            "telephone_number": "216-751-1007",
            "fax_number": "216-464-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21403 CHAGRIN BLVD",
            "address_2": "#210",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225322",
            "telephone_number": "216-751-1007",
            "fax_number": "216-464-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMENTHAL",
        "first_name": "MARLENE",
        "middle_name": "MOSS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-14",
        "last_updated": "2009-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "SP265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Erskine Blazar, RD
• Barbara Schaffer Bleiweiss, LISW
• Beth Bluestone, RD, LD
• David E Blumenthal, MD
• Harold Blumenthal, MD
• Boardman Medical Supply Co
• Harvey Boardman, RPH
• William John Bobowicz Jr., PSYD
• John R Bockoven, M.D.
• Bodacious Water Company

• School Psychologist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• School Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.