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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Stanley Wayne Blom, PH.D.

Clinical Psychologist in South Bend, IN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1538119912

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Registry record

Entity type Individual (Type 1)
Name Dr. Stanley Wayne Blom
Credential PH.D.
Sex Male
Practice address South Bend, IN, 46617
Phone (574) 251-1286
Fax (574) 232-5386
Enumeration date May 10, 2006
Last updated in NPPES Aug 12, 2019

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 20040666A (IN) Primary
PHD · Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential

Other identifiers

Identifier Type State Issuer
200008720 Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Stanley Blom?
The National Provider Identifier (NPI) for Stanley Blom is 1538119912, a Type 1 (individual) record in the CMS NPPES registry.
Where does Stanley Blom practice?
The practice location on file with NPPES is in South Bend, IN. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-08-12.