Active NPI
Virginia B Blatchley, PH.D.
- Psychologist
- Easton, MD
National Provider Identifier
1356367346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 895
- Practice address
- 28421 Pinehurst Cir
Easton, MD 21601-8315 - Phone
- (410) 310-4721
- Fax
- (410) 819-0524
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 895 | MD | Primary |
Addresses
Primary practice location
28421 Pinehurst Cir
Easton, MD 21601-8315
Mailing address
PO Box 2043
Easton, MD 21601-8940
Phone (410) 822-3188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 895 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1356367346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2043",
"city": "EASTON",
"state": "MD",
"postal_code": "216018940",
"telephone_number": "410-822-3188",
"fax_number": "410-820-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28421 PINEHURST CIR",
"city": "EASTON",
"state": "MD",
"postal_code": "216018315",
"telephone_number": "410-310-4721",
"fax_number": "410-819-0524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLATCHLEY",
"first_name": "VIRGINIA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.