| Alan D Blotcky Phd Llc | |
|
529 Beacon Pkwy W Ste 107 Birmingham AL 35209-3126 | |
| (205) 912-7171 | |
| Not Available |
| Full Name | Alan D Blotcky Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 529 Beacon Pkwy W Ste 107, Birmingham, Alabama |
| Authorized Official Name and Position | Alan Blotcky (OWNER) |
| Authorized Official Contact | 2059127171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan D Blotcky Phd Llc 973 Viridian Way Birmingham AL 35226-2810 Ph: () - | Alan D Blotcky Phd Llc 529 Beacon Pkwy W Ste 107 Birmingham AL 35209-3126 Ph: (205) 912-7171 |
| NPI Number | 1285254755 |
|---|---|
| Provider Enumeration Date | 04/24/2020 |
| Last Update Date | 04/29/2020 |
| Certification Date | 04/29/2020 |
| Medicare PECOS PAC ID | 9436580404 |
|---|---|
| Medicare Enrollment ID | O20200506001529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285254755 | NPI | - | NPPES |
| 430 | Other | AL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alan D Blotcky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053494773 PECOS PAC ID: 3779552831 Enrollment ID: I20200506001661 |
Birmingham Neuropsychology Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2018 Brookwood Medical Ctr Dr, Pob Suite 310, Birmingham, AL 35209 Phone: 205-329-7815 | |
Triumph Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2216 10th Ct S, Birmingham, AL 35205 Phone: 205-581-1000 Fax: 205-581-1007 | |
Alabama Psychhiatry And Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2700 Corporate Dr, Suite 200, Birmingham, AL 35242 Phone: 205-440-6292 | |
Transitions Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Bagby Dr Ste 217, Birmingham, AL 35209 Phone: 205-572-9886 | |
Alabama Behavioral Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1530 2nd Ave N, Birmingham, AL 35203 Phone: 205-516-8699 Fax: 205-238-5158 | |
Symbiotic Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2306 2nd Ave N, Birmingham, AL 35203 Phone: 205-601-8665 | |
Total Recall Rx Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3008 Clairmont Ave S, Birmingham, AL 35205 Phone: 205-243-9919 Fax: 205-297-0012 |