Active NPI
Leah Elizabeth Vanblaricum
- Psychiatry Physician
- Vincennes, IN
National Provider Identifier
1194460691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 390200000X
- Practice address
- 121 Buntin St
Vincennes, IN 47591-1320 - Phone
- (812) 885-3228
- NPI assigned
- Apr 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 390200000X | IN | Primary |
Addresses
Primary practice location
121 Buntin St
Vincennes, IN 47591-1320
Mailing address
121 Buntin St
Vincennes, IN 47591-1320
Phone (812) 885-3228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220617001931 | IN | Order and Referring Only - Psychiatry | 2163801366 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 390200000X | IN | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651190400000",
"number": "1194460691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 BUNTIN ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911320",
"telephone_number": "812-885-3228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 BUNTIN ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911320",
"telephone_number": "812-885-3228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANBLARICUM",
"first_name": "LEAH",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-29",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "390200000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.