DR. MARK DANIEL BLACKHURST PSYD
NPI 1760770192
Psychologist - Clinical in Fresno, CA

Q: What is Mark Blackhurst's NPI number?

The NPI number for Mark Blackhurst is 1760770192. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Q: What is Mark Blackhurst'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 Mark Blackhurst was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 July 19, 2011PECOS Enrolled

3034 E HERNDON AVE, FRESNO, CA 93720(559) 321-0883 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2025, Nov 13, 2023 (2 updates tracked since 2023).

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About Dr. Mark Daniel Blackhurst Psyd NPPES

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

DR. MARK DANIEL BLACKHURST PSYD (NPI 1760770192) is an individual clinical provider in Fresno, California, licensed in California (PSY28115) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chowchilla.

NPPES Registry Identity

NPI1760770192

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARK DANIEL BLACKHURSTCredential: PSYD

Location Address3034 E HERNDON AVEFresno, CA 93720-0300

Mailing Address21633 Avenue 24Chowchilla, CA 93610-9650 · (559) 665-6100

Phone(559) 321-0883

Sole ProprietorYes

Enumeration DateJuly 19, 2011

Last NPPES UpdateMay 19, 20252 updates tracked since enumeration

NPPES CertifiedMay 19, 2025

✔ NPI 1760770192 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 CA · PSY28115

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.

3034 E HERNDON AVE, Fresno, CA 93720

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Secondary Practice Location 1

Location 121633 Avenue 24Chowchilla, CA 93610-9650 · Phone (559) 665-6100 ext. 5218

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Daniel Blackhurst Psyd 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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Blackhurst reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Access Psychology Services PC

313 mi

Psychologist

750 B ST STE 2870
San Diego, CA 92101

Reassigned Medicare billing, California enrollment
45 clinicians in this Medicare group

NPI 1558752931 (619) 722-0014

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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

$176.60 typical visit price

range $58.87 – $176.60

Typical copayment $44.15 (range $14.71 – $44.15)

Most-billed visit code 99205

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

Other Providers at the Same Location NPPES 7

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

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