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

Individual provider Psychologist · NPI 1619911013

Dr. Samuel Blumberg, PHD is a Psychologist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

621 S New Ballas Rd Ste 112A
Saint Louis, MO 63141-8232
Phone: (314) 251-6545
Fax: (314) 251-5808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 01181 (MO)

Record details

NPI number1619911013
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESJuly 13, 2026

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