Christy Aleene Blevins, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

520 Elm St
Apt 32
San Carlos, CA 94070-2232

Phone

(512) 925-5486

NPI assigned

May 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Christy Aleene Talbert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 28, 2025 through May 28, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Juniper Psychological Services

  • Clinical Psychologist
  • Portland, OR
  • NPI 1174094544
  NPD Authorized official

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

{
    "created_epoch": "1432944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432944000000",
    "number": "1457731903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 ELM ST",
            "address_2": "APT 32",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ELM ST",
            "address_2": "APT 32",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702232",
            "telephone_number": "512-925-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "CHRISTY",
        "middle_name": "ALEENE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-30",
        "last_updated": "2015-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "TALBERT",
            "middle_name": "ALEENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Todd Black
• Eric Blake
• Clarise Blanchard, PH.D.
• Geoffrey Blanton
• Justine Courtney Bleeker, AMFT
• Blooming Stars Therapy
• John Pierre Bloomstine
• Renee Eloise Boeche, D.O.
• Aidan Boese
• Nikhil Boga, DPM

• Psychologist in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.