Derrick K Blanton, PYSD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

32512 Issued in TX

Practice address

13284 Bugatti Dr
Frisco, TX 75034-0916

Phone

(214) 551-7104

Fax

(214) 615-6358

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Merit-based Incentive Payment System (MIPS)

Final score

24.49 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

81.64

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Biofeedback & Behavioral Healthcare Solutions, P.a.

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1740451608
  Medicare reassignment NPD Authorized official
• Biofeedback & Behavioral Healthcare Solutions, P.a.

  • Clinical Psychologist
  • Frisco, TX
  • NPI 1669704540
  NPD
• Biofeedback & Behavioral Healthcare Solutions, P.a.

  • Clinical Psychologist
  • Frisco, TX
  • NPI 1841522729
  NPD (past)
• Occuvax LLC

  • Pharmacy
  • Omaha, NE
  • NPI 1699872416
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1194830133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13284 BUGATTI DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340916",
            "telephone_number": "214-551-7104",
            "fax_number": "214-615-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13284 BUGATTI DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340916",
            "telephone_number": "214-551-7104",
            "fax_number": "214-615-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANTON",
        "first_name": "DERRICK",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PYSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170206001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tricia Mari G Blanco-Pascual, MSN FNP-C
• Isabel Blanco, LPC ASSOCIATE
• Matthew Bland, FNP
• Blank Slate Therapy
• Faith Blankenship, N.P.
• Kiana Blas
• Lilyan Blatt, D.O.
• Blessed to Serve Medical Transportation Services
• Blitz Medical Billing
• William Harry Bloodworth

• Clinical Psychologist in Frisco, TX
• Providers in Frisco, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.