Julia A Blodgett, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810002094 Issued in VA

Practice address

417 Emmet Street, South
Charlottesville, VA 22904-4270

Phone

(434) 924-7034

Fax

(434) 924-4621

NPI assigned

Mar 27, 2007

Last updated

Aug 5, 2014By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

• Rector & Visitors of the University of Virginia

  dba UVA Health Sciences Center

  • General Acute Care Hospital
  • Charlottesville, VA
  • NPI 1780630608
  Medicare reassignment NPD
• Rector & Visitors of the University of Virginia

  dba University of Virginia Center for Clinical Psychology Services

  • Clinical Psychologist
  • Charlottesville, VA
  • NPI 1710193552
  NPD
• Rector & Visitors of the University of Virginia

  • Community/Retail Pharmacy
  • Charlottesville, VA
  • NPI 1790399202
  NPD

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1457479628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 EMMET STREET, SOUTH",
            "address_2": "P.O. BOX 400270",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229044270",
            "telephone_number": "434-924-7034",
            "fax_number": "434-924-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 EMMET STREET, SOUTH",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229044270",
            "telephone_number": "434-924-7034",
            "fax_number": "434-924-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLODGETT",
        "first_name": "JULIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007709846",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF VA",
            "identifier": "113188",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "262856000",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Blatz
• Kathleen Bledsoe, PHARMD
• Jacqueline Kelley Blessinger, PSY.D.
• Cheri Smith Blevins, DNP APRN CCNS CCRN
• Kelli Sutton Block, L.C.S.W.
• Garrett Blom, PA
• Julie L Blommel, MD
• Katelyn Blondino, MS, LCGC
• Bloom Care Group LLC (Bloom Care Group)
• Melissa Sue Bloomer, DPT

• Clinical Psychologist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.