Toni Bleick, DNP PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10030415 Issued in OR

Practice address

724 S Central Ave Ste 101
Medford, OR 97501-7808

Phone

(541) 249-7724

NPI assigned

Oct 20, 2009

Last updated

Jul 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Aug 20, 2024 through Aug 20, 2026

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Human Development, Inc

  • Public Health or Welfare Agency
  • La Grande, OR
  • NPI 1154455350
  NPD (past)
• Center for Human Development, Inc.

  • Community/Behavioral Health Agency
  • La Grande, OR
  • NPI 1114051315
  NPD (past)
• Paradigm Mental Health and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Medford, OR
  • NPI 1073147716
  NPD (past)

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722124800000",
    "number": "1275869661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43693 HIGHWAY 62",
            "city": "PROSPECT",
            "state": "OR",
            "postal_code": "975369753",
            "telephone_number": "541-910-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 S CENTRAL AVE STE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017808",
            "telephone_number": "541-249-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEICK",
        "first_name": "TONI",
        "credential": "DNP PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10030415",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": "200742260RN",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "200742260RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Blankenship, B.S.
• Samantha R Blankenship, CADC II
• Justin Blasdel
• Barbara J. Blaszak, M.A. , B.S.W.
• Steven William Blazer
• John Dionysius Blenkush, B.S., D.C.
• Edward Orville Blews III, M.D.
• Judith M Blickenstaff, FNP
• Megan L Block
• Carla Bloem, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Medford, OR
• Providers in Medford, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.