Individual provider Active NPI

Harry Norman Blumner III, PSD

  • Psychologist
  • Wernersville, PA
National Provider Identifier
1831390848
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS005954L Issued in PA
Practice address
300 Sportsman Rd
Wernersville, PA 19565-9434
Phone
(610) 678-3411
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS005954L PA Primary

Addresses

Primary practice location

300 Sportsman Rd
Wernersville, PA 19565-9434

Mailing address

300 Sportsman Rd
Wernersville, PA 19565-9434
Phone (610) 678-3411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20101116000352 PA Practitioner - Clinical Psychologist 6002001039 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Department of Human Services CurrentSince May 19, 1994 Accepting new patients
Pennsylvania Department of Public Welfare CurrentSince May 19, 1994 Accepting new patients

Locations

160 Main St
Wernersville, PA 19565
Phone (610) 670-4100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831390848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SPORTSMAN RD",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195659434",
            "telephone_number": "610-678-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SPORTSMAN RD",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195659434",
            "telephone_number": "610-678-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMNER",
        "first_name": "HARRY",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005954L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wernersville, PA

Sources for this page

Verify at the official NPI Registry.