Daniel Robert Blaess, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY17107 Issued in CA

Practice address

1350 Columbia St Unit 402
San Diego, CA 92101-3455

Phone

(619) 804-1669

Fax

(619) 804-1669

NPI assigned

Mar 17, 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 CA

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, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Daniel Blaess, PH.D., Psychologist, Inc.Group PAC ID 0941247662, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Daniel Blaess, PH.D., Psychologist, Inc.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1225162274
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1972572253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 COLUMBIA ST UNIT 402",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013455",
            "telephone_number": "619-804-1669",
            "fax_number": "619-804-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 COLUMBIA ST UNIT 402",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013455",
            "telephone_number": "619-804-1669",
            "fax_number": "619-804-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAESS",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PSY17107",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Blacutt, DACM. L.AC
• Miguel Angel Blacutt, MD
• Kent Alan Blade, M.D.
• Paige Blades Hanley
• Richard W Bladh, LMFT
• Kaitlyn Rose Blagrave
• Arthur Anthony Blain IV, M.D.
• Denise A. Blaine, R.N.
• Edward C Blair, BA
• Kimberly Anne Blair

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.