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DR. ALAN D BLOTCKY PH.D.
NPI 1053494773
Psychologist - Clinical in Birmingham, AL

Active since October 24, 2006PECOS Enrolled
529 BEACON PKWY W STE 107, BIRMINGHAM, AL 35209(205) 912-7171(205) 912-7179 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Alan D Blotcky Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALAN D BLOTCKY PH.D. (NPI 1053494773) is an individual clinical provider in Birmingham, Alabama, licensed in Alabama (430) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053494773
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ALAN D BLOTCKYCredential: PH.D.
Location Address529 BEACON PKWY W STE 107Birmingham, AL 35209-3126
Mailing Address529 Beacon Pkwy W Ste 107Birmingham, AL 35209-3126 · (205) 912-7171 · Fax (205) 912-7179
Phone(205) 912-7171
Fax(205) 912-7179
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateApril 15, 2020
NPPES CertifiedApril 15, 2020
✔ NPI 1053494773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in AL · 430
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
529 BEACON PKWY W STE 107, Birmingham, AL 35209
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Other Names 1

Professional Name (2)Dr. Alan David Blotcky Phd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alan D Blotcky Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alan Blotcky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alan D Blotcky Phd LLC
Same address
Clinical
529 BEACON PKWY W STE 107
Birmingham, AL 35209
  • Reassigned Medicare billing, Alabama enrollment
NPI 1285254755 (205) 912-7171

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$161.63 typical visit price
range $52.65 – $161.63
Typical copayment $40.40 (range $13.16 – $40.40)
Most-billed visit code 99205
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALAN D BLOTCKY PHD LLC
Psychologist (Clinical)
529 BEACON PKWY W STE 107
BIRMINGHAM, AL 35209
Jefferson County (205) 912-7171
DEJA KENAE LEONARD ALC
Counselor (Mental Health)
529 BEACON PKWY W STE 107
BIRMINGHAM, AL 35209
Jefferson County (205) 787-1833

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alan Blotcky's NPI number?

The NPI number for Alan Blotcky is 1053494773. It was assigned to this individual provider in the NPPES registry on October 24, 2006. The provider is also known as Dr. Alan David Blotcky Phd.

Where is Alan Blotcky located?

Alan Blotcky practices at 529 Beacon Pkwy W Ste 107, Birmingham, AL 35209. The listed phone number is (205) 912-7171.

What is Alan Blotcky's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Alan Blotcky enrolled in Medicare?

Yes. Alan Blotcky is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alan Blotcky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alan Blotcky reassigns Medicare benefits to Alan D Blotcky Phd LLC (Birmingham, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alan Blotcky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alan Blotcky was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.