Blank Psychological Services, INC.
Clinic/Center, Adult Mental Health in Temecula, CA. Organization (NPI-2).
Details
- NPI
- 1487422747
- Entity type
- Organization (NPI-2)
- Legal business name
- Blank Psychological Services, INC.
- Organization subpart
- No
- Enumeration date
- Dec 18, 2023
- Certification date
- Dec 19, 2023
- Last updated
- Jan 4, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
27403 Ynez Rd Ste 205Temecula, CA 92591-4616
Phone 951-595-7386 · Fax 951-414-3770
Mailing address
27403 Ynez Rd Ste 205Temecula, CA 92591-4616
Phone 951-595-7386 · Fax 951-414-3770
Authorized official
Jeremy Blank
President
9515957386
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 6 Adult Mental Health Clinic/Center providers in Temecula · All 5,043 providers in Temecula
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