Ronnie L. Blackwell, MS
NPI 1386258804ActiveIndividual· Psychologist· Orange, CA
Psychologist (MS) in Orange, California, trained at Boston University School of Medicine (class of 2019). Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1386258804 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS |
| Sole proprietor | No |
| NPI issued | Sep 2, 2020 |
| Last updated in NPPES | Apr 8, 2026 |
| Certified by provider | Apr 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | MA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | MA |
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 (MA) |
|---|
Education and affiliations
| Medical school | Boston University School of Medicine |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Clinical Psychologist |
Other Psychologist providers in Orange
- 1114482635
- 1356611313
- 1508367905
- 1164918363
- 1245806124
- 1649040650
- 1093660342
- 1851123871
- 1720602113
- 1477295996
- 1598156606
- 1619731114