STACEY LEE BLASE PHD
NPI 1487918660
Psychologist - Clinical in Fairfield, CT
About Stacey Lee Blase Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY LEE BLASE PHD (NPI 1487918660) is an individual clinical provider in Fairfield, Connecticut, licensed in Connecticut (003696) and active in the NPI registry since July 2012. She has opted out of Medicare through September 17, 2027 and maintains a secondary practice location in Guilford.
NPPES Registry Identity
Specialties & Licenses
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.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Stacey Lee Blase Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 17, 2021 through September 17, 2027.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stacey Blase's NPI number?
The NPI number for Stacey Blase is 1487918660. It was assigned to this individual provider in the NPPES registry on July 2, 2012.
Where is Stacey Blase located?
Stacey Blase practices at 21 Sherman Ct, Fairfield, CT 06824. The listed phone number is (203) 533-9496.
What is Stacey Blase's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Stacey Blase enrolled in Medicare?
No. Stacey Blase has opted out of Medicare through September 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Stacey Blase was last updated on February 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
