Amy Blanchard, PH.D.
Individual provider Active NPI Clinical Psychologist · Cupertino, CA
NPI 1508134115 · NPPES record last updated Dec 9, 2011
Key facts
- NPI
- 1508134115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY 9701 (CA)
- Practice address
- 20045 Stevens Creek Blvd
Suite D-2B
Cupertino, CA 95014-2353 - Phone
- (650) 823-1157
- NPI assigned
- Dec 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 9701 | CA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 9701 | CA | Yes |
Addresses
Primary practice location
20045 Stevens Creek Blvd
Suite D-2B
Cupertino, CA 95014-2353
Mailing address
20045 Stevens Creek Blvd
Suite D-2B
Cupertino, CA 95014-2353
Phone (650) 823-1157
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4102980 | Other | CA | AETNA |
| 2813510 | Other | CA | CIGNA |
| 76612 | Other | CA | MANAGED HEALTH NETWORK |
Other providers in Cupertino, CA
- Shaofang Bi
- Julianna Bianes
- Fatemeh K Birhani
- Michelle Blacklock
- Devin Blake
- Julie Elaine Bleicker
- Nancy Block
- Kathleen M Boe
- Sitka Boehmer
- Rebecca McQueen Bond
All providers in Cupertino, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.