Brianna Caitlin Blanchard, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

025654-01 Issued in NY

Practice address

12612 Challenger Pkwy Ste 365
Orlando, FL 32826-2784

Phone

(407) 306-8441

NPI assigned

May 28, 2019

Last updated

Oct 23, 2023By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1770140410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12612 CHALLENGER PKWY STE 365",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328262784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12612 CHALLENGER PKWY STE 365",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328262784",
            "telephone_number": "407-306-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "BRIANNA",
        "middle_name": "CAITLIN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "025654-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Blakey-Cheung, MD
• Britt Blakey, MSW, LCSW
• Rana Blan, OTR/L
• Kimberly Blanc, MSW, LCSW
• Alexis Blanchard
• Erin Elizabeth Blanchard, BT
• Roxanne Blanchard, RPH
• Wilner Blanchard, M.ED, M.A; RMHCI
• Zachary Tyler Blanchard, DPT, PT
• Dennis Carl Blanchette, D.O

• Clinical Psychologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.