DR. NANCY A BLUM (PH.D.) – Clinical Psychologist, NPI 1265438451

DR. NANCY A BLUM (PH.D.) is a healthcare provider. based in Encino, California. specializing in Clinical Psychologist. They hold the professional credentials PH.D.. They hold a License No. PSY14122 (CA). The NPI Number for DR. NANCY A BLUM (PH.D.) is 1265438451

Main info

Female
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. NANCY A BLUM (PH.D.)
NPI
1265438451
Phone
(818) 996-7579
Address
5535 BALBOA BLVD
Enumeration Date
22 June 2005
Last Update Date
18 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8189967579
Graduation Year
1993 (33 years ago)
PAC ID
8426172040
Professional Enrollment ID
I20100902000475
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. NANCY A BLUM (PH.D.)

  • 5535, Balboa Boulevard, Encino, Los Angeles, Los Angeles County, California, 91316, United States

    STE 104

    ENCINO, CA 913161522

    Phone: (818) 996-7579

    Fax: (818) 996-7579

    Type: Location

  • 15915 VENTURA BLVD STE 202

    ENCINO, CA 914364433

    Phone: (818) 996-7579

    Fax: (818) 671-3502

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100902000475IClinical PsychologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91316)

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Reviews

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Frequently asked questions

How do payers reference DR. NANCY A BLUM (PH.D.)?
For DR. NANCY A BLUM (PH.D.), use NPI 1265438451 as the unique 10-digit identifier.
Is DR. NANCY A BLUM (PH.D.) shown as active in public data?
Registry records indicate DR. NANCY A BLUM (PH.D.) maintains an active NPI.
What kind of doctor is DR. NANCY A BLUM (PH.D.)?
DR. NANCY A BLUM (PH.D.) is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. NANCY A BLUM (PH.D.) associated with Encino?
Public fields place DR. NANCY A BLUM (PH.D.) around Encino, California. Always confirm the exact site before visiting.
Does DR. NANCY A BLUM (PH.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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