BLAISE FORTUNATA PSYCHOLOGIST
NPI 1609816636
Psychologist in Hyannis, MA

Active since June 07, 2006PECOS Enrolled
460 W MAIN ST, HYANNIS, MA 02601(508) 790-3360(508) 790-3378 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blaise Fortunata Psychologist NPPES

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

BLAISE FORTUNATA PSYCHOLOGIST (NPI 1609816636) is an individual psychologist in Hyannis, Massachusetts, licensed in Massachusetts (8563) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609816636
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameBLAISE FORTUNATACredential: PSYCHOLOGIST
Location Address460 W MAIN STHyannis, MA 02601-3855
Mailing Address460 W Main StHyannis, MA 02601-3855 · (508) 790-3360 · Fax (508) 790-3378
Fax(508) 790-3378
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateDecember 30, 2021
NPI 1609816636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · 8563
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
460 W MAIN ST, Hyannis, MA 02601

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Blaise Fortunata Psychologist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Social Worker
460 W MAIN ST
HYANNIS, MA 02601
Social Worker (Clinical)
460 W MAIN ST
HYANNIS, MA 02601
Counselor (Mental Health)
460 W MAIN ST
HYANNIS, MA 02601
Psychiatry & Neurology (Psychiatry)
460 W MAIN ST
HYANNIS, MA 02601
Counselor (Mental Health)
460 W MAIN ST
HYANNIS, MA 02601
Counselor (Mental Health)
460 W MAIN ST
HYANNIS, MA 02601
Student in an Organized Health Care Education/Training Program
460 W MAIN ST
HYANNIS, MA 02601
Social Worker (Clinical)
460 W MAIN ST
HYANNIS, MA 02601

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 Blaise Fortunata's NPI number?

The NPI number for Blaise Fortunata is 1609816636. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Blaise Fortunata located?

Blaise Fortunata practices at 460 W Main St, Hyannis, MA 02601. The listed phone number is (508) 790-3360.

What is Blaise Fortunata's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Blaise Fortunata enrolled in Medicare?

Yes. Blaise Fortunata is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Blaise Fortunata was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.