DR. LISA H BLUM (NPI# 1538601646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538601646 |
| Entity Type | Individual |
| Full Name | DR. LISA H BLUM |
| Credential | PHD |
| Practice Address |
2360 Longboat Ct Henrico VA 23294-4902 |
| Practice Telephone | 3103514460 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810005339 | VA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
021807 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891260402 | Lisa Rose Blum | Physical Therapist | 309 Northwest Dr, Farmingdale, NY 11735-4935 | 2018-10-10 |
| 1508903022 | Lisa Caren Blum | Psychologist | 95 N Marengo Ave, Suite 200, Pasadena, CA 91101-1764 | 2007-01-31 |
| Street Address |
2360 LONGBOAT CT |
| City | HENRICO |
| State | VA |
| Zip Code | 23294-4902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811454994 | Joshua Fritz | Behavior Technician | 2601 Willard Rd, Ste 105, Richmond, VA 23294 | 2019-02-26 |
| 1578020608 | Nicole Hoppe | Behavior Technician | 2601 Willard Road, Ste 105, Richmond, VA 23294 | 2019-02-25 |
| 1699278713 | Osman Med Transportation LLC | Non-emergency Medical Transport (VAN) | 8703 Queensmere Plz Apt 2, Henrico, VA 23294 | 2018-03-15 |
| 1346742830 | F.c. of Virginia, Inc. | Hospice Care, Community Based | 8401 Mayland Drive Suite L, Richmond, VA 23294 | 2018-03-01 |
| 1497256911 | Susan Marie Robinson | Speech-Language Pathologist | 9200 Mapleview Avenue, Richmond, VA 23294 | 2018-02-21 |
| 1407375512 | Lisa Therese Hall | Speech-Language Pathologist | Skipwith Elementary School, 2401 Skipwith Rd., Henrico, VA 23294 | 2017-09-11 |
| 1295257863 | All Around Taxi Service.inc | Taxi | 8601 Pellington Pl #7, Richmond, VA 23294 | 2017-07-14 |
| 1992225809 | Pony-care Transportation, Inc | Non-emergency Medical Transport (VAN) | 3212 Skipwith Road, Suite L3, Henrico, VA 23294 | 2017-06-21 |
| 1801325295 | Christina Chaney | Behavior Technician | 9351 West Broad St, Henrico, VA 23294 | 2017-06-08 |
| 1033648423 | Sarah Jennings | Behavior Technician | 9351 West Broad St., Henrico, VA 23294 | 2017-06-08 |
| Find all providers in zip 23294 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902269004 | Brandon Jamaal Ernest Williams | Psychologist | 2727 Enterprise Pkwy Ste 202, Henrico, VA 23294-6341 | 2016-04-05 |
| 1154435303 | Andrea M Stern | Psychologist | 4110 E Parham Rd Ste 208, Henrico, VA 23228-2754 | 2006-08-17 |
| 1104990936 | Debbie Daniels Mohring | Psychologist | 2200 Pump Rd, Ste 220, Henrico, VA 23233-3539 | 2006-11-20 |
| 1568568376 | Mary J. Wells | Psychologist | 11958 W Broad St, Henrico, VA 23233 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593603 | Tina Tehrani Nawaz | Psychologist | 23909 Heather Meadow Dr, Ashburn, VA 20148-1767 | 2020-09-16 |
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1174135917 | Elizabeth Dehart Richardson | Psychologist | 3023 Arrowhead Rd, Rockingham, VA 22801-8682 | 2020-08-22 |
| 1558973131 | Saharay Elizabeth Martinez | Psychologist | 26 Zenith Loop, Newport News, VA 23601-1270 | 2020-08-17 |
| 1881204097 | Maria Elena Burke | Psychologist | 108 Colonels Way, Williamsburg, VA 23185-5105 | 2020-08-03 |
| 1699385013 | Celeste Macdonald Kelly | Psychologist | 250 Wylderose Cmns, Midlothian, VA 23113-6883 | 2020-08-01 |
| 1811515794 | Thomas Craig Foster Jr. | Psychologist | 115 Bulifants Blvd Ste A, Williamsburg, VA 23188-5720 | 2020-07-08 |
| 1225655012 | Drew Taylor Bassett | Psychologist | 1970 Roanoke Blvd # 116b1, Salem, VA 24153-6404 | 2020-06-29 |
| 1851917843 | Nathaniel Andrew | Psychologist | 3112 Honeywood Ln Apt E, Roanoke, VA 24018-8853 | 2020-06-25 |
| 1548886674 | Anita L Boss | Psychologist | 1200 Prince St, Alexandria, VA 22314-2936 | 2020-06-24 |
| 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.