Thomas W.C. Blash, PSY D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS003255L Issued in PA

Practice address

8200 Flourtown Ave
Suite 8
Wyndmoor, PA 19038-7976

Phone

(215) 233-3994

Fax

(215) 233-3997

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Clinical Psychologist

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

GKSW Crystal Group AssociatesGroup PAC ID 7810898152, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• GKSW Crystal Group Associates

  • Clinical Psychologist
  • Wyndmoor, PA
  • NPI 1568418721
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1508806613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 FLOURTOWN AVE",
            "address_2": "SUITE 8",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387976",
            "telephone_number": "215-233-3994",
            "fax_number": "215-233-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 FLOURTOWN AVE",
            "address_2": "SUITE 8",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387976",
            "telephone_number": "215-233-3994",
            "fax_number": "215-233-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASH",
        "first_name": "THOMAS",
        "middle_name": "W.C.",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS003255L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simeon L Bardin, MD
• Neal Edward Beatus, M.S.S., L.C.S.W.
• William E. Benson, MD
• Richard A. Bergman, PH.D.
• Maria J Bertucci, M.D.
• Jasmine Boone
• Michael William Braun, PT
• Elizabeth C. Brooks, JD IBCLC
• Diana Brown, MD
• Beth Ann Bunting, LCSW

• Clinical Psychologist in Wyndmoor, PA
• Providers in Wyndmoor, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.