Organization Active NPI

Thomas a. Blansett, PH.D., Inc.

  • Clinical Psychologist
  • Springfield, MO
National Provider Identifier
1326279654
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PYRO336 Issued in MO
Legal business name
THOMAS A. BLANSETT, PH.D., INC.
Practice address
2200 E Sunshine St Ste 318
Springfield, MO 65804-1861
Phone
(417) 886-4011
Fax
(417) 886-4011
NPI assigned
Aug 4, 2009
Last updated
Aug 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Authorized official

Name
Dr. Thomas Andrew Blansett, PH.D.NPI 1528202314
Title
President
Phone
(417) 886-4011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0700X PYRO336 MO
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PYRO336 MO Primary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X PYRO336 MO
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X PYRO336 MO
Rehabilitation PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TR0400X PYRO336 MO

Addresses

Primary practice location

2200 E Sunshine St Ste 318
Springfield, MO 65804-1861

Mailing address

2200 E Sunshine St Ste 318
Springfield, MO 65804-1861
Phone (417) 886-4011

National Provider Directory

National Provider Directory

Locations

2200 E Sunshine St
Ste 318
Springfield, MO 65804
Phone (417) 830-0145

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1326279654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E SUNSHINE ST STE 318",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041861",
            "telephone_number": "417-886-4011",
            "fax_number": "417-886-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E SUNSHINE ST STE 318",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041861",
            "telephone_number": "417-886-4011",
            "fax_number": "417-886-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A. BLANSETT, PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "BLANSETT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-886-4011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "MO",
            "license": "PYRO336",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "PYRO336",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MO",
            "license": "PYRO336",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "MO",
            "license": "PYRO336",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "MO",
            "license": "PYRO336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.