Sarah Kathryn Rosenbloom, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071006588 Issued in IL

Practice address

2835 N Sheffield Ave Ste 209
Chicago, IL 60657-5083

Phone

(312) 420-5594

NPI assigned

Aug 5, 2006

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

Opted out of Medicare

Yes, effective Feb 1, 2023 through Feb 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Sarah Rosenbloom, PHD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1245545359
  NPD Authorized official
• Sarah Rosenbloom, PHD & Associates PLLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1649108879
  NPD Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1376552885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 N SHEFFIELD AVE STE 209",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575083",
            "telephone_number": "312-834-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 N SHEFFIELD AVE STE 209",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575083",
            "telephone_number": "312-420-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLOOM",
        "first_name": "SARAH",
        "middle_name": "KATHRYN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adena Rosenblatt
• Alan I. Rosenblatt, M.D.
• Hannah Grace Rosenblatt, LCSW
• Jeffrey Rosenblatt, D.O.
• Emily Jones Simon Rosenbloom, LCSW
• Sharon Lynn Rosenbloom, MA, CCC-SLP
• Regina Rosenbrock
• Ellen King Rosendale, MSW
• David Rosenfeld, M.D.
• Hannah Rosenfeld, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.

Verify at the official NPI Registry.