Individual provider Active NPI

Christy A Blanchard, PHD

  • Psychologist
  • Lawrence, KS
National Provider Identifier
1568433555
Registry record updated May 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1186 Issued in KS
Practice address
1201 Wakarusa Dr Ste C3C
Lawrence, KS 66049-3910
Phone
(785) 838-8998
Fax
(888) 361-6910
NPI assigned
Jan 30, 2006
Last updated
May 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1186 KS Primary

Addresses

Primary practice location

1201 Wakarusa Dr Ste C3C
Lawrence, KS 66049-3910

Mailing address

1201 Wakarusa Dr Ste C3C
Lawrence, KS 66049-3910
Phone (785) 838-8998

Other identifiers 1

IdentifierTypeStateIssuer
100097940AMedicaidKS

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2018 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1186KSMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Blanchard Psychological Services, Inc Psychologist CurrentSince May 8, 2022 Accepting new patients

Locations

1201 Wakarusa Dr
Ste C3C
Lawrence, KS 66049
Phone (785) 838-8998

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1568433555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 WAKARUSA DR STE C3C",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493910",
            "telephone_number": "785-838-8998",
            "fax_number": "888-361-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WAKARUSA DR STE C3C",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493910",
            "telephone_number": "785-838-8998",
            "fax_number": "888-361-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "CHRISTY",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "1186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100097940A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.