National Provider Identifier Database

RAY M ROSENBLOOM, PhD – NPI #1124196985
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

RAY M ROSENBLOOM, PhD
1114 LOST CREEK BLVD STE 320
AUSTIN, TX78746
Phone: 512-983-6816
Fax: 512-858-2053
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for RAY M ROSENBLOOM

NPI Number 1124196985
Credentials PhD
Entity Individual
Enumeration date 12/01/2006
Last updated 08/04/2019 - About 7 years ago
Sole proprietor1 Yes
Identifiers
  • MI License #: 6301002325
  • TX License #: 33167
  • Other: 11287287 CAQH
  • MI Other: 620F34837 BLUE CROSS BLUE SHIELD MI
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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