Individual provider Active NPI

Regla Josefina Blanco, PSY.D.

  • Psychologist
  • Coral Gables, FL
National Provider Identifier
1881961001
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY8399 Issued in FL
Practice address
1416 Santa Cruz Ave
Coral Gables, FL 33134-2258
Phone
(305) 785-6610
NPI assigned
Nov 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY8399 FL Primary

Addresses

Primary practice location

1416 Santa Cruz Ave
Coral Gables, FL 33134-2258

Mailing address

1416 Santa Cruz Ave
Coral Gables, FL 33134-2258
Phone (305) 785-6610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20200427000725 FL Practitioner - Clinical Psychologist 7214367671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harris and Darmanian PLLCGroup PAC ID 7517940091, 9 clinicians

Practice addresses (Care Compare)

1875 N Corporate Lakes Blvd
Suite 300
Weston, FL 33326-3270
Phone (954) 217-2444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Neurofeedback Institute, PA CurrentSince Dec 1, 2024 Accepting new patients
Harris & Darmanian PLLC CurrentSince Jan 5, 2020 Accepting new patients
Blanco Neurofeedback Institute Psychologist Past Accepting new patients

Locations

1875 N Corporate Lakes Blvd
Ste 300
Weston, FL 33326
Phone (954) 217-2444

1875 N Corporate Lakes Blvd
Weston, FL 33326
Phone (954) 384-7115

1605 Town Center Blvd
Ste D
Weston, FL 33326
Phone (954) 217-2220

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1881961001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 SANTA CRUZ AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342258",
            "telephone_number": "305-785-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 SANTA CRUZ AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342258",
            "telephone_number": "305-785-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "REGLA",
        "middle_name": "JOSEFINA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.