Robert Weston Blasdel, MS, LADC,LMFT
Individual provider Active NPI Marriage & Family Therapist · Bartlesville, OK
NPI 1124167960 · NPPES record last updated Aug 12, 2011
Key facts
- NPI
- 1124167960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 373 (OK)
- Practice address
- 700 SW Penn Ave.
Bartlesville, OK 74003-7923 - Phone
- (918) 333-5861
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231222001453 | OK | Practitioner - Marriage and Family Therapist | 8325498959 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 373 | OK | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Lake Mental Health Center, Inc. | Current |
Accepting new patients | |
| Grand Lake Mental Health Center, Inc. | Current |
Accepting new patients | |
| Grand Lake Mental Health Center, Inc. | Current | Accepting new patients |
Locations
705 S Virginia Ave
Bartlesville, OK 74003
Phone (918) 231-0810
700 S Penn Ave
Bartlesville, OK 74003
Phone (918) 337-8099
111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511
114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 373 | OK | Yes |
Addresses
Primary practice location
700 SW Penn Ave.
Bartlesville, OK 74003-7923
Mailing address
700 SW Penn Ave.
Bartlesville, OK 74003-7923
Phone (918) 333-5861
Other names
- Mr. Bob Weston Blasdel
Other providers in Bartlesville, OK
- BHCP Heritage Villa Opco, LLC
- Shannon Sue Bible
- Rita S Bibles
- Margaret E. Bishop
- Vance Wayne Blackwell Jr.
- Sharron Denise Blaylock
- Julie Ann Blount
- Blue Stem Cardiology PC
- Blue Stem MHT LLC
- Bluestem Medical Clinic, PLLC
All providers in Bartlesville, OK · Marriage & Family Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.