Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Blum PSYD Licensed Psychologist PC

Organization Clinical Psychologist · NPI 1639543390

Jennifer Blum PSYD Licensed Psychologist PC provides Clinical Psychologist services in Santa Rosa, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1144 Sonoma Ave Ste 104
Santa Rosa, CA 95405-4812 Not confirmed with CMS for 10 years — call before visiting
Phone: (707) 331-4769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 27164 (CA)

Record details

NPI number1639543390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Blum — Owner · (707) 331-4769
NPI enumeratedNovember 18, 2015
Last updated in NPPESNovember 18, 2015
Mailing address484 Cornish Ln, Angwin, CA 94508-9736

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