MR. DAVID JONATHAN BLEECKER PHD
NPI 1376551242
Psychologist - Clinical in Bloomington, IN

Q: What is David Bleecker's NPI number?

The NPI number for David Bleecker is 1376551242. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Q: What is David Bleecker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Bleecker was last updated on July 8, 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.

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment

627 NORTH MORTON ST, STE 202, BLOOMINGTON, IN 47404(812) 323-2061 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mr. David Jonathan Bleecker Phd NPPES

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

MR. DAVID JONATHAN BLEECKER PHD (NPI 1376551242) is an individual clinical provider in Bloomington, Indiana, licensed in Indiana (20040212) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1376551242

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMR. DAVID JONATHAN BLEECKERCredential: PHD

Location Address627 NORTH MORTON ST, STE 202Bloomington, IN 47404-3750

Mailing Address4217 East Penn CourtBloomington, IN 47408-3124 · (812) 332-8975

Phone(812) 323-2061

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateAugust 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1376551242 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 IN · 20040212

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.

627 NORTH MORTON ST, Bloomington, IN 47404

Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified204880IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. David Jonathan Bleecker Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739363334

PECOS Enrollment IDI20110406000073

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47404 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

$161.76 typical visit price

range $53.07 – $161.76

Typical copayment $40.44 (range $13.26 – $40.44)

Most-billed visit code 99205

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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 David Bleecker's NPI number?

The NPI number for David Bleecker is 1376551242. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is David Bleecker located?

David Bleecker practices at 627 North Morton St Ste 202, Bloomington, IN 47404. The listed phone number is (812) 323-2061.

What is David Bleecker's specialty?

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

Is David Bleecker enrolled in Medicare?

Yes. David Bleecker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for David Bleecker was last updated on July 8, 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.