CHRISTOPHER DOUGLAS BLAZINA PH.D.
NPI 1275569774
Psychologist in Chattanooga, TN
About Christopher Douglas Blazina Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTOPHER DOUGLAS BLAZINA PH.D. (NPI 1275569774) is an individual psychologist in Chattanooga, Tennessee, licensed in Tennessee (P2642) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Christopher Douglas Blazina Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Christopher Blazina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sandia Park, NM 87047
- Reassigned Medicare billing, New Mexico enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHATTANOOGA, TN 37421
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 Christopher Blazina's NPI number?
The NPI number for Christopher Blazina is 1275569774. It was assigned to this individual provider in the NPPES registry on June 25, 2006.
Where is Christopher Blazina located?
Christopher Blazina practices at 6110 Shallowford Rd C O Crc, Chattanooga, TN 37421. The listed phone number is (800) 632-6074.
What is Christopher Blazina's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Christopher Blazina enrolled in Medicare?
Yes. Christopher Blazina is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Christopher Blazina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Christopher Blazina reassigns Medicare benefits to Wildwoods Counseling LLC (Sandia Park, NM). 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 Christopher Blazina'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 Christopher Blazina was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.