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Jonathan Curtis Blassingame III, PHD

NPI 1336737725ActiveIndividual· Psychologist· Houston, TX

Psychologist (PHD) with Baylor College of Medicine, practicing in Houston, Texas. Enrolled in Medicare as practitioner - clinical psychologist.

Overview

NPI1336737725
StatusActive
Entity typeIndividual
CredentialPHD
Sole proprietorYes
NPI issuedJan 2, 2021
Last updated in NPPESMay 23, 2022
Certified by providerMar 29, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X38869TX
Psychologist103T00000X—TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Psychologist (TX)

Medicare sources and data years

Education and affiliations

Graduation year2020
Medicare specialtyClinical Psychologist
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

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