Stephanie Brooke Rosenblum, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3320 Issued in CT

Practice address

30 Buxton Farm Rd
Suite 140
Stamford, CT 06905-1224

Phone

(203) 612-7511

NPI assigned

Sep 19, 2013

Last updated

Sep 27, 2017By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Contemporary TMS of Stamford

  • Adult Mental Health Clinic/Center
  • Stamford, CT
  • NPI 1477095487
  NPD (past)
• Spectrum Behavioral PC

  • Child & Adolescent Psychiatry Physician
  • Stamford, CT
  • NPI 1457636383
  NPD (past)

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1639505845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BUXTON FARM RD",
            "address_2": "SUITE 140",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051224",
            "telephone_number": "203-612-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BUXTON FARM RD",
            "address_2": "SUITE 140",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051224",
            "telephone_number": "203-612-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "STEPHANIE",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "3320",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry M Rosenberg, PH.D.
• Remi Rosenberg, MD
• Jon Charles Rosenblitt, D.M.D.
• Sylvie Rosenbloom, APRN, FNP-BC, CDE
• Daniel Rosenblum
• Charles Cory Rosenstein, M.D.
• Arthur R Rosenstock, MD
• Allen Jack Rosenthal, DDS
• Joan Rosenthal, LCSW
• David A Rosh, DMD

• Psychologist in Stamford, CT
• Providers in Stamford, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.