DR. JONATHAN W BLAINE PSY.D.
NPI 1902980261
Psychologist - Clinical in Aurora, CO

Active since October 24, 2006
11059 E BETHANY DR, AURORA, CO 80014(303) 617-2392 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jonathan W Blaine Psy.d. NPPES

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

DR. JONATHAN W BLAINE PSY.D. (NPI 1902980261) is an individual clinical provider in Aurora, Colorado, licensed in Colorado (2444) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1902980261
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JONATHAN W BLAINECredential: PSY.D.
Location Address11059 E BETHANY DRAurora, CO 80014-2622
Mailing Address11059 E Bethany DrAurora, CO 80014-2622 · (303) 617-2392
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1902980261 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 CO · 2444
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.

11059 E BETHANY DR, Aurora, CO 80014

Other Identifiers 3

Medicaid88623769CO
Medicare UPINQ25508CO
Medicare ID-Type Unspecified552778CO

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Social Worker (Clinical)
11059 E BETHANY DR, SUITE 200
AURORA, CO 80014
Counselor (Professional)
11059 E BETHANY DR, STE. 200
AURORA, CO 80014
Counselor (Mental Health)
11059 E BETHANY DR, 200
AURORA, CO 80014
Social Worker (Clinical)
11059 E BETHANY DR, SUITE 200
AURORA, CO 80014
Psychologist (Clinical)
11059 E BETHANY DR, SUITE 200
AURORA, CO 80014
Psychologist (Clinical Child & Adolescent)
11059 E BETHANY DR, STE. 200
AURORA, CO 80014
Counselor (Professional)
11059 E BETHANY DR, SUITE 200
AURORA, CO 80014
Social Worker (Clinical)
11059 E BETHANY DR, SUITE 200
AURORA, CO 80014
Counselor (Professional)
11059 E BETHANY DR, SUITE 200
AURORA, CO 80014
Social Worker (Clinical)
11059 E BETHANY DR, SUITE 200
AURORA, CO 80014
Social Worker (Clinical)
11059 E BETHANY DR, SUITE 101
AURORA, CO 80014
Social Worker (Clinical)
11059 E BETHANY DR, SUITE 200
AURORA, CO 80014
Psychologist (Clinical Child & Adolescent)
11059 E BETHANY DR, SUITE 200
AURORA, CO 80014
Social Worker (Clinical)
11059 E BETHANY DR, SUITE 200
AURORA, CO 80014
Marriage & Family Therapist
11059 E BETHANY DR, SUITE 200
AURORA, CO 80014
Psychologist (Forensic)
11059 E BETHANY DR, SUITE 200
AURORA, CO 80014
Counselor (Mental Health)
11059 E BETHANY DR, SUITE 200
AURORA, CO 80014
Case Manager/Care Coordinator
11059 E BETHANY DR, SUITE #200
AURORA, CO 80014
Social Worker (Clinical)
11059 E BETHANY DR, SUITE 200
AURORA, CO 80014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902980261, enumerated as an "individual" on October 24, 2006.

The provider is located at 11059 E BETHANY DR AURORA, CO 80014 and the phone number is (303) 617-2392.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.