DR. STACY LYNN BLASKO PH.D
NPI 1770964884
Psychologist in Baltimore, MD

Active since June 15, 2015PECOS Enrolled
707 N BROADWAY, BALTIMORE, MD 21205(443) 923-1872 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stacy Lynn Blasko Ph.d NPPES

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

DR. STACY LYNN BLASKO PH.D (NPI 1770964884) is an individual psychologist in Baltimore, Maryland, licensed in Maryland (05820) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770964884
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. STACY LYNN BLASKOCredential: PH.D
Location Address707 N BROADWAYBaltimore, MD 21205-1832
Mailing Address2931 E Biddle StBaltimore, MD 21213-3939
Sole ProprietorNo
Enumeration DateJune 15, 2015
Last NPPES UpdateJanuary 9, 2020
NPI 1770964884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MD · 05820
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.
707 N BROADWAY, Baltimore, MD 21205

Other Names 1

Former Name (1)Ms. Stacy Lynn Darr Phd

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Stacy Lynn Blasko Ph.d 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.

Physical Therapy Assistant
707 N BROADWAY
BALTIMORE, MD 21205
Physical Therapist
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD 21205
Psychologist
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD 21205
Social Worker
707 N BROADWAY
BALTIMORE, MD 21205
Psychologist (Clinical)
707 N BROADWAY
BALTIMORE, MD 21205
Behavior Analyst
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE- BEHAVIORAL PSYCHOLOGY
BALTIMORE, MD 21205
Speech-Language Pathologist
707 N BROADWAY
BALTIMORE, MD 21205
Physical Therapist
707 N BROADWAY
BALTIMORE, MD 21205

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 Stacy Blasko's NPI number?

The NPI number for Stacy Blasko is 1770964884. It was assigned to this individual provider in the NPPES registry on June 15, 2015. The provider is also known as Ms. Stacy Lynn Darr Phd.

Where is Stacy Blasko located?

Stacy Blasko practices at 707 N Broadway, Baltimore, MD 21205. The listed phone number is (443) 923-1872.

What is Stacy Blasko's specialty?

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

Is Stacy Blasko enrolled in Medicare?

Yes. Stacy Blasko is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacy Blasko was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.