DR. JOHN TRAVIS BLAZE PH.D.
NPI 1144562695
Psychologist in Gulf Breeze, FL

Active since March 22, 2013
5396 LONGHORN TRL, GULF BREEZE, FL 32563(850) 270-7773 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John Travis Blaze Ph.d. NPPES

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

DR. JOHN TRAVIS BLAZE PH.D. (NPI 1144562695) is an individual psychologist in Gulf Breeze, Florida, licensed in Florida (PY9366) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1144562695
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JOHN TRAVIS BLAZECredential: PH.D.
Location Address5396 LONGHORN TRLGulf Breeze, FL 32563-9353
Mailing Address5396 Longhorn TrlGulf Breeze, FL 32563-9353 · (850) 270-7773
Sole ProprietorNo
Enumeration DateMarch 22, 2013
Last NPPES UpdateAugust 18, 2023
NPPES CertifiedAugust 18, 2023
NPI 1144562695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY9366
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
5396 LONGHORN TRL, Gulf Breeze, FL 32563

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 John Blaze's NPI number?

The NPI number for John Blaze is 1144562695. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Where is John Blaze located?

John Blaze practices at 5396 Longhorn Trl, Gulf Breeze, FL 32563. The listed phone number is (850) 270-7773.

What is John Blaze's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for John Blaze was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.