Ana L. Blancarte, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

24960 Issued in TX

Practice address

451 Mary Louise Dr
San Antonio, TX 78201-4434

Phone

(210) 615-1134

Fax

(210) 528-1578

NPI assigned

Nov 18, 2005

Sex

Female

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

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1336121979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 MARY LOUISE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782014434",
            "telephone_number": "210-615-1134",
            "fax_number": "210-528-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 MARY LOUISE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782014434",
            "telephone_number": "210-615-1134",
            "fax_number": "210-528-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCARTE",
        "first_name": "ANA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "24960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034634801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Dana Blalock
• Wayne James Blalock, CRNA
• Garret Blamey, IOM
• Todd Wellington Blan, D.C.
• Beth Blanc
• Michael G. Blanchett, M.D.
• Adam R Blanchette, M.D.
• Zalmen Blanck, MD
• Blanco Family Dental, P.a.
• Blanco Family Dentistry

• Clinical Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.