DR. BENNETT BLUM (NPI# 1124322151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124322151 |
| Entity Type | Individual |
| Full Name | DR. BENNETT BLUM |
| Credential | MD |
| Practice Address |
5425 E Broadway Blvd Pmb #358 Tucson AZ 85711-3704 |
| Practice Telephone | 5209904145 |
| Mailing Telephone | 5209904145 |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
G72139 | CA | Allopathic & Osteopathic Physicians |
| N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
27112 | AZ | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G72139 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
G72139 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
27112 | AZ | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | G72139 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 27112 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
5425 E BROADWAY BLVD PMB #358 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85711-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
| 1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
| 1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
| 1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
| 1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
| 1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
| 1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
| 1124561477 | Regina Maendler | Behavioral Analyst | 630 N. Craycroft Rd, Tucson, AZ 85711 | 2016-11-18 |
| 1881140184 | Elleda Linsmeyer | Speech-Language Pathologist | St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 | 2016-08-28 |
| 1962856260 | Csl-tucson, LLC | Assisted Living Facility | 1020 N. Woodland Avenue, Tucson, AZ 85711 | 2016-04-22 |
| Find all providers in zip 85711 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821294745 | Dennis C. Westin, M.d. P.C. | Psychiatry & Neurology | 5240 E Knight Dr Ste 120, Tucson, AZ 85712-2122 | 2007-06-26 |
| 1710903414 | Daniel S. Cohen | Psychiatry & Neurology | 5425 N Oracle Rd # 115, Tucson, AZ 85704-3890 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467060343 | Geropsychmd LLC | Psychiatry & Neurology | 9618 N 35th Pl, Phoenix, AZ 85028-4934 | 2020-07-16 |
| 1760984215 | Ascension Medical LLC | Psychiatry & Neurology | 9590 E Ironwood Sq Suite 210, Scottsdale, AZ 85258 | 2018-03-01 |
| 1700170271 | Arizona Advanced Health Services LLC | Psychiatry & Neurology | 10770 E Becker Ln, Scottsdale, AZ 85259-3868 | 2011-06-02 |
| 1033556089 | Northern Arizona Healthcare Provider Group, LLC | Psychiatry & Neurology | 269 South Candy Lane, Cottonwood, AZ 86326-4158 | 2013-05-31 |
| 1366506263 | Naeem Amanullah Pathan | Psychiatry & Neurology | 3450 N 3rd St, Phoenix, AZ 85012-2331 | 2006-12-22 |
| 1871693952 | Amy Johanna Frazier | Psychiatry & Neurology | 650 East Indian School Rd, Phoenix, AZ 85012-1839 | 2006-09-25 |
| 1376658633 | Donald J Curran Do Pllc | Psychiatry & Neurology | 401 S Calvary Way, Suite B, Cottonwood, AZ 86326-4165 | 2006-08-20 |
| 1912952136 | Matthew T Malone | Psychiatry & Neurology | 1551 E Tangerine Rd, Oro Valley, AZ 85755-6213 | 2006-05-24 |
| 1922056746 | Donald J Curran | Psychiatry & Neurology | 294 W State Route 89a, Suite 212, Cottonwood, AZ 86326-3754 | 2006-05-04 |
| 1043276918 | Arif Husain | Psychiatry & Neurology | 3505 Western Ave, Kingman, AZ 86409-3071 | 2006-04-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.