Lawrence Neil Blum, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY6896 Issued in CA

Practice address

5182 Katella Avenue
Suite 205
Los Alamitos, CA 90720

Phone

(562) 493-4655

Fax

(562) 493-8897

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• A Psychological Corporation

  • Clinical Psychologist
  • Los Alamitos, CA
  • NPI 1841208790
  NPD (past) Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427066372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5182 KATELLA AVENUE",
            "address_2": "SUITE 205",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "90720",
            "telephone_number": "562-493-4655",
            "fax_number": "562-493-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5182 KATELLA AVENUE",
            "address_2": "SUITE 205",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "90720",
            "telephone_number": "562-493-4655",
            "fax_number": "562-493-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "LAWRENCE",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY6896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00PL68960",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Blackburn, DMD
• Stan R. Blackwell, A.B.O.C.
• Blessed Palliative and Hospice Service
• Wendy Nan Block, L.C.S,W.
• Myron J Bloom, MD
• Melanie J Blumenthal, MD
• Richard A Blumenthal, MD
• Brianna Elizabeth Bobadilla
• Gene L Bohlmann, ED.D.
• Denis Bolton, D.O.

• Clinical Psychologist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.