Sylvia N/a Blum, PPS CREDENTIAL

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Practice address

3155 E Patrick LN Ste 1
Las Vegas, NV 89120-3481

Phone

(702) 992-0576

NPI assigned

Oct 1, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1407259740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 E PATRICK LN STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 E PATRICK LN STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203481",
            "telephone_number": "702-992-0576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1690 Via Pacifica",
            "address_2": "Apt. J103",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928826707",
            "country_code": "US",
            "telephone_number": "562-230-9487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUM",
        "first_name": "SYLVIA",
        "middle_name": "N/A",
        "name_prefix": "Miss",
        "credential": "PPS CREDENTIAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "140077321",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Blum Therapy, PLLC
• Keith S Blum, DO
• Martine Ruth Blum, LCSW
• Leah Marie Blumenstein
• Cortney Blumenthal
• Felecia Bluntson
• Cynthia Blythe
• BMB Healthcare Partners LLC

• Foster Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Foster Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.