Individual provider Active NPI

Margaret Hutchinson Blasciak

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1790937928
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60189688 Issued in WA
Practice address
6541 Specker Ave BLDG 1830
Mountain Post Behavioral Health
Colorado Springs, CO 80913-4263
Phone
(719) 526-2858
NPI assigned
Oct 21, 2008
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY60189688 WA Primary

Addresses

Primary practice location

6541 Specker Ave BLDG 1830
Mountain Post Behavioral Health
Colorado Springs, CO 80913-4263

Mailing address

6541 Specker Ave BLDG 1830
Mountain Post Behavioral Health
Colorado Springs, CO 80913-4263
Phone (719) 503-7852

Other names 1

  • Margaret Hutchinson Vandever Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY60189688WAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1790937928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6541 SPECKER AVE BLDG 1830",
            "address_2": "MOUNTAIN POST BEHAVIORAL HEALTH",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809134263",
            "telephone_number": "719-503-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6541 SPECKER AVE BLDG 1830",
            "address_2": "MOUNTAIN POST BEHAVIORAL HEALTH",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809134263",
            "telephone_number": "719-526-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASCIAK",
        "first_name": "MARGARET",
        "middle_name": "HUTCHINSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60189688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "VANDEVER",
            "middle_name": "HUTCHINSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.