Active NPI
Jeffrey Blume, PH.D.
- Psychologist
- Beverly Hills, CA
National Provider Identifier
1639301526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY11986
- Practice address
- 9107 Wilshire Blvd Ste 301
Beverly Hills, CA 90210-5528 - Phone
- (310) 273-1372
- NPI assigned
- Aug 11, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY11986 | CA | Primary |
Addresses
Primary practice location
9107 Wilshire Blvd Ste 301
Beverly Hills, CA 90210-5528
Mailing address
9107 Wilshire Blvd Ste 301
Beverly Hills, CA 90210-5528
Phone (310) 273-1372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249948800000",
"number": "1639301526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9107 WILSHIRE BLVD STE 301",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105528",
"telephone_number": "310-273-1372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9107 WILSHIRE BLVD STE 301",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105528",
"telephone_number": "310-273-1372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUME",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-11",
"last_updated": "2009-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY11986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.