Alan D Blotcky, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

430 Issued in AL

Practice address

529 Beacon Pkwy W Ste 107
Birmingham, AL 35209-3126

Phone

(205) 912-7171

Fax

(205) 912-7179

NPI assigned

Oct 24, 2006

Last updated

Apr 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Alan David Blotcky Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alan D Blotcky PHD LLC

  • Clinical Psychologist
  • Birmingham, AL
  • NPI 1285254755
  Medicare reassignment NPD Authorized official
• Alabama Psychotherapy and Wellness Center

  • Psychologist
  • Birmingham, AL
  • NPI 1992840896
  NPD (past)
• Psychnet Systems

  • Clinical Psychologist
  • Birmingham, AL
  • NPI 1336168467
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1053494773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 BEACON PKWY W STE 107",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093126",
            "telephone_number": "205-912-7171",
            "fax_number": "205-912-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 BEACON PKWY W STE 107",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093126",
            "telephone_number": "205-912-7171",
            "fax_number": "205-912-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOTCKY",
        "first_name": "ALAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "alanblotcky@att.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "529 Beacon Pkwy W Ste 107",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352093126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALAN",
            "last_name": "BLOTCKY",
            "middle_name": "DAVID",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Helen Marie Bloom, DMD
• Bradley Scott Bloomfield, PHD, BCBA
• Jodi Bloomston, CRNA
• Marc E Bloomston, MD
• Keilan Blossom
• Elizabeth Hamlin Blount, NP
• Jeffrey P Blount, MD
• Jeremy Paul Blount, CRNA
• Virginia Bryant Blount, RPH
• Blue Bayou Inc

• Clinical Psychologist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Clinical Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.