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

Jennifer Blum PSYD Licensed Psychologist PC

Organization Clinical Psychologist · NPI 1639543390

Jennifer Blum PSYD Licensed Psychologist PC is a Clinical Psychologist 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
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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