Peri Michelle Blum, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY5589 Issued in FL

Practice address

10440 Cypress Lakes Preserve Dr
Lake Worth, FL 33449-4610

Phone

(561) 715-1162

NPI assigned

Dec 9, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Psyhealth Inc

  • Clinical Psychologist
  • Lake Worth, FL
  • NPI 1619515004
  Medicare reassignment Authorized official
• Cotler Healthcare & Development Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
  • NPI 1225075047
  Medicare reassignment NPD
• Mental Health Center of Florida PA

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1679021414
  Medicare reassignment NPD
• Transformative Healthcare Solutions Inc

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1477114031
  NPD
• Pro Performance Physical Therapy LLC

  • Physical Therapist
  • Fort Lauderdale, FL
  • NPI 1215598529
  NPD (past)

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

{
    "created_epoch": "1544313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1659842151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 CYPRESS LAKES PRESERVE DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334494610",
            "telephone_number": "561-715-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 CYPRESS LAKES PRESERVE DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334494610",
            "telephone_number": "561-715-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "PERI",
        "middle_name": "MICHELLE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-09",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Genee Blevins, PHARMD
• Celestina Blount, PHARMD
• Blue Skies Therapy Services LLC
• Blue Village Transportation LLC.
• Blue Water Doctors of Lake Worth LLC
• Kaylin Boas, M.S., CF-SLP
• Body Care Medspa LLC
• John Bolla
• Yazmin Bonet, LCSW
• Ryan Samuel Bonilla, MPT

• Psychologist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.