Individual provider Active NPI

Allison Blechschmidt, PSYD

  • Clinical Psychologist
  • Kempton, PA
National Provider Identifier
1225542236
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS018393 Issued in PA
Practice address
9088 Airfield CT
Kempton, PA 19529-9071
Phone
(610) 393-6639
NPI assigned
Nov 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS018393 PA Primary

Addresses

Primary practice location

9088 Airfield CT
Kempton, PA 19529-9071

Mailing address

7918 Main St Unit 722
Fogelsville, PA 18051-6028
Phone (619) 677-6093

Other names 1

  • Allison Ditty Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20180212000502 PA Practitioner - Clinical Psychologist 8820358930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1005 Brookside Rd
Suite 80
Allentown, PA 18106-9023
Phone (484) 891-0383

9088 Airfield CT
Kempton, PA 19529-9071
Phone (484) 891-0383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS018393PAMDClinical Psychologist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1225542236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7918 MAIN ST UNIT 722",
            "city": "FOGELSVILLE",
            "state": "PA",
            "postal_code": "180516028",
            "telephone_number": "619-677-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9088 AIRFIELD CT",
            "city": "KEMPTON",
            "state": "PA",
            "postal_code": "195299071",
            "telephone_number": "610-393-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLECHSCHMIDT",
        "first_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "DITTY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kempton, PA

Sources for this page

Verify at the official NPI Registry.