Gail Bleach, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

00848 Issued in MD

Practice address

9006 Woodyard Rd
Clinton, MD 20735-4206

Phone

(301) 856-3636

Fax

(301) 856-3633

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18593/brand/1/csg/1/fhir/r4

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.

• Diversified Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Clinton, MD
  • NPI 1659744266
  NPD (past)
• Kidney Medical Associates Inc

  • Nephrology Physician
  • White Plains, MD
  • NPI 1295843217
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1104987676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9006 WOODYARD RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354206",
            "telephone_number": "301-856-3636",
            "fax_number": "301-856-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9006 WOODYARD RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354206",
            "telephone_number": "301-856-3636",
            "fax_number": "301-856-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEACH",
        "first_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "00848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrace Lamechia Diane Blake, LGPC
• Daniel Blakemore, RN
• Kimberly Bland
• Luke Johnathan Blankenheim, PA-C
• Bleach and Associates, LLC
• Seymour Howard Bloom, DDS
• Blooms Health Care Services LLC
• Blossom Home Care Services LLC
• Blue Water Physiatry L L C
• Shannon Bondoc

• Clinical Psychologist in Clinton, MD
• Providers in Clinton, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.