Jason Alexander Blake

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS020752 Issued in PA

Practice address

200 Highpoint Dr Ste 215
Chalfont, PA 18914-3925

Phone

(215) 491-1119

Fax

(215) 491-9119

NPI assigned

May 13, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Psychologist

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Center for Neuropsychology & Counseling, PC

  • Clinical Neuropsychologist
  • Chalfont, PA
  • NPI 1205119369
  NPD

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1346178803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HIGHPOINT DR STE 215",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143925",
            "telephone_number": "215-491-1119",
            "fax_number": "215-491-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGHPOINT DR STE 215",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143925",
            "telephone_number": "215-491-1119",
            "fax_number": "215-491-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "JASON",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS020752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian J Beno, MPT, CERT MDT
• Marsha Ellen Berger Grant, MS PT OCJ
• Dawn Clayton Bieber, OTRL
• Heather Rose Bisca, PMHNP-BC
• Diane Blackman, CRNP
• Brittnie Lee Blanchard, PSYD
• Michelle Block, RN
• James Arthur Bond, DDS
• Michele C Boniewicz, C.R.N.P.
• Amanda Bonsall

• Psychologist in Chalfont, PA
• Providers in Chalfont, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.