Wesley Peter Blitchington, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 3223 Issued in FL

Practice address

2909 W State Road 434
Suite 111
Longwood, FL 32779-4459

Phone

(407) 774-0557

Fax

(407) 774-9329

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 6

Other names 1

• W. Peter Blitchington Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Wesley Peter Blitchington, PH.D.

  • Cognitive & Behavioral Psychologist
  • Longwood, FL
  • NPI 1427463850
  NPD (past) Authorized official

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1063577229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 W STATE ROAD 434",
            "address_2": "SUITE 111",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794459",
            "telephone_number": "407-774-0557",
            "fax_number": "407-774-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 W STATE ROAD 434",
            "address_2": "SUITE 111",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794459",
            "telephone_number": "407-774-0557",
            "fax_number": "407-774-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLITCHINGTON",
        "first_name": "WESLEY",
        "middle_name": "PETER",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY3223",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": "PY 3223",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 3223",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY 3223",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 3223",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6126818",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "593016832",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "63893",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "75237",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "053110",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE P10",
            "identifier": "75237",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "W.",
            "last_name": "BLITCHINGTON",
            "middle_name": "PETER",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julie Ann Blair, FNP-BC
• Johnson Blaise, LMT
• Tanya Blakemore
• Andrew Paul Blanchard, MA, LMHC, NCC
• Kathleen E Blaney, A.R.N.P.
• Blue Path ABA (Applied Behavior Center)
• Elouise Blue
• Imara Blume, PMHNP-BC
• BMS Stratigic Business Solutions (Clear Path Centers)
• Juliana Kate Boardman, BS

• Clinical Psychologist in Longwood, FL
• Providers in Longwood, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.