PERI MICHELLE BLUM (NPI# 1659842151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659842151 |
| Entity Type | Individual |
| Full Name | PERI MICHELLE BLUM |
| Credential | PSY.D. |
| Practice Address |
9751 Sun Pointe Dr Boynton Beach FL 33437-3333 |
| Practice Telephone | 5617151162 |
| Mailing Telephone | 5617151162 |
| Enumeration Date | 2018-12-09 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY5589 | FL | Behavioral Health & Social Service Providers |
| Street Address |
9751 SUN POINTE DR |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33437-3333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548800808 | Ortho Florida, LLC | Anesthesiology | 11135 S Jog Road Ste 5, Boynton Beach, FL 33437 | 2020-01-14 |
| 1730725086 | Uttamkumar Sheladiya | Pharmacist | 12080 South Jog Rod, Boyton Beach, FL 33437 | 2019-11-21 |
| 1831601608 | Sheri Keehn | Nurse Practitioner | 6713 Conch Ct, Boynton Beach, FL 33437 | 2017-11-01 |
| 1265958037 | Kiersten Lutchi | Behavior Technician | 7862 Red Mahogany Road, Boynton Beach, FL 33437 | 2017-08-14 |
| 1740725084 | Marie Maxi | Behavior Technician | 6713 Heritage Grande, 1206, Boynton Beach, FL 33437 | 2016-12-22 |
| 1184071623 | Darronique Johnson | Technician, Other | 10779 Cambay Cr., Boynton Beach, FL 33437 | 2016-05-14 |
| 1033580709 | Brett R. Hutton, M.d., P.a. | Internal Medicine | 10301 Hagen Ranch Rd Ste B550, Boynton Beach, FL 33437 | 2015-10-07 |
| 1104258417 | Domenick Andrew Cerullo | Dentist | 10150 Hagen Ranch Road Suite 202, Dental Arts of Boynton Beach, P.a., Boynton Beach, FL 33437 | 2013-08-09 |
| 1275883399 | Kate A Vazquez | Physician Assistant | 7593 Boynton Beach Blvd Ste 190, Boynton Beach, FL 33437 | 2012-09-17 |
| 1912256009 | Kristi Joy Kline | Physical Therapist | 11135 South Jog Road, Suite 1, Boynton Beach, FL 33437 | 2012-09-05 |
| Find all providers in zip 33437 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295161487 | Ashkin Counseling | Psychologist | 8850 Cicero Dr, Boynton Beach, FL 33472-2436 | 2013-09-19 |
| 1700197878 | Laurence Ralph Simon | Psychologist | 7411 Twin Falls Dr, Boynton Beach, FL 33437-3937 | 2010-06-23 |
| 1689996662 | Joseph F Logiudice | Psychologist | 5761 Emerald Cay Ter, Boynton Beach, FL 33437-4218 | 2010-02-18 |
| 1023162245 | Maura K Malloy Psyd Pa | Psychologist | 1375 Gateway Blvd # 57, Boynton Beach, FL 33426-8304 | 2007-01-23 |
| 1558427138 | Nancy Marie Michuda | Psychologist | 1260 Sw 27th Ave, Boynton Beach, FL 33426-7826 | 2006-12-28 |
| 1588773501 | Stephanie L Weiss | Psychologist | 1375 Gateway Blvd, Boynton Beach, FL 33426 | 2006-08-30 |
| 1245607589 | Life Md | Psychologist | 1901 S Congress Ave, Suite 150, Boynton Beach, FL 33426-6556 | 2015-08-21 |
| 1376931519 | Neurorecovery Inc | Psychologist | 1101 N Congress Ave Ste 208, Boynton Beach, FL 33426-3336 | 2014-12-22 |
| 1538595822 | Linda Wechter-ashkin | Psychologist | 1375 Gateway Blvd, Ste 57, Boynton Beach, FL 33426-8304 | 2013-09-19 |
| 1205180031 | Aubrey K. Ewing, Ph.d. & Associates, P.a. | Psychologist | 1230 S Federal Hwy, Boynton Beach, FL 33435-6000 | 2012-10-31 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33437 |
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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.