Ryan Charles Blejewski, BCBA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5437 Issued in NC

Practice address

720 Saint James Dr
Wilmington, NC 28403-2937

Phone

(919) 660-8200

Fax

(910) 660-8199

NPI assigned

Aug 16, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Center for Pediatric Behavioral Health

  • Clinical Child & Adolescent Psychologist
  • Wilmington, NC
  • NPI 1871962415

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1255811592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SAINT JAMES DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032937",
            "telephone_number": "910-769-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SAINT JAMES DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032937",
            "telephone_number": "919-660-8200",
            "fax_number": "910-660-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEJEWSKI",
        "first_name": "RYAN",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-16",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-29731",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "5437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pia Blanton, P.T
• Anna Lee Blazer
• Hope Gerock Blevens
• Kelly Marie Blevins, MSPT
• Laura Rachel Bliese, CRNA
• Blissful Bridge to Wellness
• Malisa Dawn Blizzard, MSN-RN

• Psychologist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.