Active NPI
Edna Blumstein, PH.D.
- Clinical Psychologist
- Lynbrook, NY
National Provider Identifier
1528078664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 012331
- Practice address
- 50 Hempstead Ave
Suite I
Lynbrook, NY 11563-1614 - Phone
- (516) 996-6507
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 012331 | NY | Primary |
| Health Psychologist | 103TH0004X | 012331 | NY |
Addresses
Primary practice location
50 Hempstead Ave
Suite I
Lynbrook, NY 11563-1614
Mailing address
50 Hempstead Ave
Suite I
Lynbrook, NY 11563-1614
Phone (516) 996-6507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012331 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R.P.P., Inc. | Clinical | Past | Accepting new patients |
| Pauletta McClenan LCSW PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Lynbrook, NY
- NPI 1427029065
-
- Clinical Psychologist
- Jackson Heights, NY
- NPI 1306933767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1528078664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 HEMPSTEAD AVE",
"address_2": "SUITE I",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115631614",
"telephone_number": "516-996-6507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 HEMPSTEAD AVE",
"address_2": "SUITE I",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115631614",
"telephone_number": "516-996-6507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUMSTEIN",
"first_name": "EDNA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "012331",
"primary": true
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "NY",
"license": "012331",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.