Ella Blumer

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.008436 Issued in IL

Practice address

400 Central Ave Ste 320
Northfield, IL 60093-3024

Phone

(847) 220-7631

NPI assigned

Sep 3, 2010

Last updated

May 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ella Gimburg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blumer Psychological Services

  • Clinical Psychologist
  • Northfield, IL
  • NPI 1285462960
  NPD Authorized official
• Gottlieb Community Health Services Corporation

  • Psychiatric Hospital Unit
  • Berwyn, IL
  • NPI 1700864352
  NPD (past)

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1306153812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 PRAIRIE ST",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252824",
            "telephone_number": "847-220-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CENTRAL AVE STE 320",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933024",
            "telephone_number": "847-220-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMER",
        "first_name": "ELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-03",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008436",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLA",
            "last_name": "GIMBURG",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donna Bicknese, M.D.
• Alena Binder, PSY.D.
• Ilana Birg, D.D.S.
• Erin Whalen Blanchette, LPMT MT-BC
• Blumer Psychological Services
• Ann Alicya Blymire
• Steven Russell Boas, M.D.
• Judith H. Bobbe, M.S.W.
• Jacob Bernard Bobrow
• Angelika Bochnak, MA, MS

• Clinical Psychologist in Northfield, IL
• Providers in Northfield, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.