Stacy Lynn Blasko, PH.D
NPI 1770964884ActiveIndividual· Psychologist· Baltimore, MD
Psychologist (PH.D) in Baltimore, Maryland, licensed in MD, with an NPI issued in June 2015. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1770964884 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D |
| Sole proprietor | No |
| NPI issued | Jun 15, 2015 |
| Last updated in NPPES | Jan 9, 2020 |
| Certified by provider | Jan 9, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 05820 | MD |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MD) |
|---|
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