WESLEY PETER BLITCHINGTON PH.D. NPI 1063577229

NPI Information

NPI: 1063577229
Provider Name: WESLEY PETER BLITCHINGTON, PH.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
2909 W STATE ROAD 434
SUITE 111
LONGWOOD, FL
ZIP 32779
Phone: (407) 774-0557
Get Directions

Wesley Peter Blitchington, PH.D. is a clinical psychologist in Longwood, FL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. Wesley Peter Blitchington, PH.D. NPI is 1063577229. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2909 W STATE ROAD 434
SUITE 111
LONGWOOD, FL
ZIP 32779-459
Phone: (407) 774-0557
Fax: (407) 774-9329

The NPI 1063577229 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 12/27/2006 and was last updated on 2/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist		PY3223	FLORIDA	No
2	103TB0200X	Psychologist	Cognitive & Behavioral	PY 3223	FLORIDA	No
3	103TC1900X	Psychologist	Counseling	PY 3223	FLORIDA	No
4	103T00000X	Psychologist		PY 3223	FLORIDA	No
5	103TC0700X	Psychologist	Clinical	PY 3223	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	63893	OTHER	FLORIDA	CIGNA
2	053110	OTHER	FLORIDA	VALUE OPTIONS
3	593016832	OTHER	FLORIDA	TRICARE
4	6126818	OTHER	FLORIDA	UNITED BEHAVIORAL HEALTH
5	75237	OTHER	FLORIDA	BCBS FL
6	75237	OTHER	FLORIDA	MEDICARE P10
7	75237	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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