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BLANK PSYCHOLOGICAL SERVICES, INC.
NPI 1487422747
Clinic/Center - Adult Mental Health in Temecula, CA

Active since December 18, 2023
27403 YNEZ RD STE 205, TEMECULA, CA 92591(951) 595-7386(951) 414-3770 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Blank Psychological Services, Inc. NPPES

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

BLANK PSYCHOLOGICAL SERVICES, INC. (NPI 1487422747) is a healthcare organization registered as an adult mental health in Temecula, California and active in the NPI registry since December 2023. The organization lists Jeremy Blank, President, as its authorized official.

NPPES Registry Identity

NPI1487422747
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameBLANK PSYCHOLOGICAL SERVICES, INC.
Location Address27403 YNEZ RD STE 205Temecula, CA 92591-4616
Mailing Address27403 Ynez Rd Ste 205Temecula, CA 92591-4616 · (951) 595-7386 · Fax (951) 414-3770
Phone(951) 595-7386
Fax(951) 414-3770
Organization SubpartNo
Authorized OfficialJeremy BlankPresident · (951) 595-7386
Enumeration DateDecember 18, 2023
Last NPPES UpdateJanuary 4, 2024
NPPES CertifiedDecember 19, 2023
✔ NPI 1487422747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
27403 YNEZ RD STE 205, Temecula, CA 92591
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blank Psychological Services, Inc. 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 Blank Psychological Services, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeremy Blank, PSY.D.
Clinical Psychologist
NPI 1215260591
27403 YNEZ RD STE 205
Temecula, CA 92591
(951) 595-7386
✔ PECOS✔ Accepts MedicareSame 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 Blank Psychological Services, Inc.'s NPI number?

The NPI number for Blank Psychological Services, Inc. is 1487422747. It was assigned to this organization in the NPPES registry on December 18, 2023.

Where is Blank Psychological Services, Inc. located?

Blank Psychological Services, Inc. is located at 27403 Ynez Rd Ste 205, Temecula, CA 92591. The listed phone number is (951) 595-7386.

What is Blank Psychological Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Blank Psychological Services, Inc. enrolled in Medicare?

Yes. Blank Psychological Services, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blank Psychological Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Blank Psychological Services, Inc.. 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 Blank Psychological Services, Inc. was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.