George Andrew Blednick, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5203 Issued in NY

Practice address

36 Overhill Rd
Melville, NY 11747-1036

Phone

(631) 427-8505

Fax

(631) 427-8505

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902984370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 OVERHILL RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117471036",
            "telephone_number": "631-427-8505",
            "fax_number": "631-427-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 OVERHILL RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117471036",
            "telephone_number": "631-427-8505",
            "fax_number": "631-427-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEDNICK",
        "first_name": "GEORGE",
        "middle_name": "ANDREW",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "5203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6800476",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent Biordi
• Ria Bissoon, BCBA, LBA
• Lynette Blades
• Deborah Anne Blau, MA, CCC/SLP
• Marissa Lynn Blau, PA
• Joel Block, PH.D.
• Stacey L Blumberg, M.S. CCC-SLP
• Richard Stephen Blume, MD
• Marilyn Blumenthal, PHD
• Stephanie Bodon, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.