Active NPI
Joseph C Blader, PH.D.
- Psychologist
- San Antonio, TX
National Provider Identifier
1467408542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 36694
- Practice address
- 7703 Floyd Curl Dr
Ut Medicine - Psychiatry / Child & Adolescent
San Antonio, TX 78229-3901 - Phone
- (210) 567-5312
- Fax
- (210) 247-2264
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 009654 | NY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 36694 | TX | |
| Psychologist | 103T00000X | 36694 | TX | Primary |
Addresses
Primary practice location
7703 Floyd Curl Dr
Ut Medicine - Psychiatry / Child & Adolescent
San Antonio, TX 78229-3901
Mailing address
7703 Floyd Curl Dr
Ut Medicine - Psychiatry / Child & Adolescent
San Antonio, TX 78229-3901
Phone (210) 567-5312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330704301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36694 | TX | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484524800000",
"number": "1467408542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7703 FLOYD CURL DR",
"address_2": "UT MEDICINE - PSYCHIATRY / CHILD & ADOLESCENT",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293901",
"telephone_number": "210-567-5312",
"fax_number": "210-247-2264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7703 FLOYD CURL DR",
"address_2": "UT MEDICINE - PSYCHIATRY / CHILD & ADOLESCENT",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293901",
"telephone_number": "210-567-5312",
"fax_number": "210-247-2264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLADER",
"first_name": "JOSEPH",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2017-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "009654",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "TX",
"license": "36694",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "36694",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330704301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.