Individual provider Active NPI

Charles H Blonstein, PHD

  • Clinical Psychologist
  • Flourtown, PA
National Provider Identifier
1699712893
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS003995L Issued in PA
Practice address
806 Bethlehem Pike
Second Floor
Flourtown, PA 19031-1501
Phone
(215) 836-7040
NPI assigned
May 31, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS003995L PA Primary

Addresses

Primary practice location

806 Bethlehem Pike
Second Floor
Flourtown, PA 19031-1501

Mailing address

250 Ridge Pike
Unit C-54
Lafayette Hill, PA 19444-1930
Phone (215) 836-7040

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

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699712893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 RIDGE PIKE",
            "address_2": "UNIT C-54",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441930",
            "telephone_number": "215-836-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 BETHLEHEM PIKE",
            "address_2": "SECOND FLOOR",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311501",
            "telephone_number": "215-836-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONSTEIN",
        "first_name": "CHARLES",
        "middle_name": "H",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS003995L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flourtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.