DR. SEBASTIAN JAMES BLISS PHD
NPI 1992274914
Psychologist - Clinical in Brockton, MA

Q: What is Sebastian Bliss's NPI number?

The NPI number for Sebastian Bliss is 1992274914. It was assigned to this individual provider in the NPPES registry on November 20, 2018. The provider is also known as Whitney Mackenzie Bliss Phd.

Q: What is Sebastian Bliss'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 Sebastian Bliss was last updated on October 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 November 20, 2018PECOS Enrolled

940 BELMONT ST BLDG 5, BROCKTON, MA 02301(774) 826-3510 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 16, 2020, Feb 25, 2020, Nov 20, 2018 (3 updates tracked since 2018).

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About Dr. Sebastian James Bliss Phd NPPES

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

DR. SEBASTIAN JAMES BLISS PHD (NPI 1992274914) is an individual clinical provider in Brockton, Massachusetts, licensed in New York (023720) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992274914

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SEBASTIAN JAMES BLISSCredential: PHD

Location Address940 BELMONT ST BLDG 5Brockton, MA 02301-5596

Mailing Address940 Belmont St Bldg 5Brockton, MA 02301-5596 · (774) 826-3510

Phone(774) 826-3510

Sole ProprietorNo

Enumeration DateNovember 20, 2018

Last NPPES UpdateOctober 16, 20203 updates tracked since enumeration

NPPES CertifiedOctober 16, 2020

✔ NPI 1992274914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in NY · 023720✔ Licensed in TX · 38389

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

940 BELMONT ST BLDG 5, Brockton, MA 02301

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Other Names 1

Former Name (1)Whitney Mackenzie Bliss 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. Sebastian James Bliss Phd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 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

$177.36 typical visit price

range $58.86 – $177.36

Typical copayment $44.34 (range $14.71 – $44.34)

Most-billed visit code 99205

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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 14

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

DR. ISABELLA MAK MD

Student in an Organized Health Care Education/Training Program