MEDICARE: SARAH ROSENBLOOM, PHD & ASSOCIATES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1649108879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARAH ROSENBLOOM, PHD & ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	2835 N SHEFFIELD AVE STE 200
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-5083
Country	:	US
Telephone Number	:	312-834-3575
Fax Number	:

Provider Business Practice Location Address
First Line	:	2835 N SHEFFIELD AVE STE 200
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-5083
Country	:	US
Telephone Number	:	312-834-2575
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	SARAH ROSENBLOOM
Credential	:	PHD
Telephone Number	:	312-420-5594

Provider Enumeration Date	:	05/09/2026
Last Update Date	:	05/09/2026

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