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ALAN D BLOTCKY PHD LLC
NPI 1285254755
Psychologist - Clinical in Birmingham, AL

Active since April 24, 2020
529 BEACON PKWY W STE 107, BIRMINGHAM, AL 35209(205) 912-7171 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alan D Blotcky Phd Llc NPPES

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

ALAN D BLOTCKY PHD LLC (NPI 1285254755) is a healthcare organization registered as a clinical in Birmingham, Alabama and active in the NPI registry since April 2020. The organization lists Alan Blotcky, Owner, as its authorized official.

NPPES Registry Identity

NPI1285254755
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameALAN D BLOTCKY PHD LLC
Location Address529 BEACON PKWY W STE 107Birmingham, AL 35209-3126
Mailing Address973 Viridian WayBirmingham, AL 35226-2810
Phone(205) 912-7171
Organization SubpartNo
Authorized OfficialAlan BlotckyOwner · (205) 912-7171
Enumeration DateApril 24, 2020
Last NPPES UpdateApril 29, 2020
NPPES CertifiedApril 29, 2020
✔ NPI 1285254755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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 Identifiers 1

Other430AL · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alan D Blotcky Phd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Alan D Blotcky Phd LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alan Blotcky, PH.D.
Clinical Psychologist
NPI 1053494773
529 BEACON PKWY W STE 107
Birmingham, AL 35209
(205) 912-7171
✔ PECOSSame address

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

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 D Blotcky Phd LLC's NPI number?

The NPI number for Alan D Blotcky Phd LLC is 1285254755. It was assigned to this organization in the NPPES registry on April 24, 2020.

Where is Alan D Blotcky Phd LLC located?

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

What is Alan D Blotcky Phd LLC's specialty?

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

Is Alan D Blotcky Phd LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Alan D Blotcky Phd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Alan D Blotcky Phd LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Alan D Blotcky Phd LLC was last updated on April 29, 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.