KATRINA BLOMQUIST PH.D.
NPI 1659770535
Psychologist - Clinical Child & Adolescent in Ithaca, NY

Q: What is Katrina Blomquist's NPI number?

The NPI number for Katrina Blomquist is 1659770535. It was assigned to this individual provider in the NPPES registry on August 18, 2014.

Q: What is Katrina Blomquist's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: Is Katrina Blomquist enrolled in Medicare?

No. Katrina Blomquist has opted out of Medicare through December 8, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Katrina Blomquist was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 18, 2014Opted out of Medicare · through Dec 8, 2026

950 DANBY RD STE 202F, ITHACA, NY 14850(607) 260-3100 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2023, Jan 26, 2023 (2 updates tracked since 2023).

On this page

About Katrina Blomquist Ph.d. NPPES

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

KATRINA BLOMQUIST PH.D. (NPI 1659770535) is an individual clinical child & adolescent provider in Ithaca, New York and active in the NPI registry since August 2014. She has opted out of Medicare through December 8, 2026.

NPPES Registry Identity

NPI1659770535

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameKATRINA BLOMQUISTCredential: PH.D.

Location Address950 DANBY RD STE 202FIthaca, NY 14850-5714

Mailing Address950 Danby Rd Ste 202fIthaca, NY 14850-5714 · (607) 260-3100

Phone(607) 260-3100

Sole ProprietorNo

Enumeration DateAugust 18, 2014

Last NPPES UpdateMarch 2, 20232 updates tracked since enumeration

NPPES CertifiedMarch 2, 2023

✔ NPI 1659770535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

950 DANBY RD STE 202F, Ithaca, NY 14850

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Katrina Blomquist Ph.d. 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 December 8, 2022 through December 8, 2026.

Opt-Out Effective DateDecember 8, 2022

Opt-Out In Effect ThroughDecember 8, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARABEZ D SMITH LMSW

Social Worker (Clinical)