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

Individual provider Clinical Psychologist · NPI 1124196985

Ray M Rosenbloom, PHD is a Clinical Psychologist in Austin, Texas. Qualified in 1980, 46 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Texas.

Years since qualifying
46
Licensed in
MI, TX
In the registry since
2006
Specialties on file
2
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

1114 Lost Creek Blvd Ste 320
Austin, TX 78746
Phone: (512) 983-6816
Fax: (512) 858-2053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5800 Sussex Dr, Troy, MI 48098-2359 — (512) 983-6816

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 33167 (TX)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6301002325 (MI)

Record details

NPI number1124196985
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 1, 2006
Last updated in NPPESAugust 4, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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