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

Dr. Blake Laurens Rosenbaum, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053871871

Dr. Blake Laurens Rosenbaum, MD is a Psychiatry in Boston, Massachusetts. Qualified in 2019, 7 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 548-1553
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 290869 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053871871
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 20, 2019
Last updated in NPPESMarch 5, 2023
Certification dateMarch 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Boston