Jason Randelle Blizzard, PHD
NPI 1245877802ActiveIndividual· Psychologist· Lebanon, NH
Psychologist (PHD) with Mary Hitchcock Memorial Hospital, practicing in Lebanon, New Hampshire. Medicare paid $23,684 for services to 25 patients in 2024. Lists Mary Hitchcock Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1245877802 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | Dec 3, 2019 |
| Last updated in NPPES | Dec 9, 2025 |
| Certified by provider | Dec 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 1663 | NH |
| Psychologist, Counseling | 103TC1900X | 004353 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (NH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 316 across 4 procedure codes |
| Paid by Medicare | $23,684 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Mary Hitchcock Memorial HospitalManchester, NH · 1,280 clinicians
Hospital affiliation
- Mary Hitchcock Memorial HospitalLebanon, NH
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