Michael Paul Blankschen, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

012795 Issued in NY

Practice address

318 Wall St
Suite 3-a
Kingston, NY 12401-8003

Phone

(845) 338-7478

Fax

(845) 338-7478

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Hudson Valley Psychiatric Associates LLC

  • Psychiatry Physician
  • Kingston, NY
  • NPI 1477598605
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1639160252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 WALL ST",
            "address_2": "2-A",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013849",
            "telephone_number": "845-338-7478",
            "fax_number": "845-338-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 WALL ST",
            "address_2": "SUITE 3-A",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124018003",
            "telephone_number": "845-338-7478",
            "fax_number": "845-338-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKSCHEN",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01671585",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Blachman, MD
• Suzanne Black, DVM
• Jennifer Susan Blackmon, LCSW
• Rebecca Blackwell-Hafner, MSN, FNP-BC
• Albert John Blair III, M.D.
• Dean Bloch, MD
• Deena Bloom, LCSW
• Marsha Bloom
• Blue River Psychiatry NP PLLC
• Sydney L. Blum, LCSW CASAC SAP

• Psychologist in Kingston, NY
• Providers in Kingston, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.