Dr. Ryan Thomas Blucker
Psychologist, Health Service in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1720302003
StatusActive
Last updated in NPPESJun 27, 2018
Details
- NPI
- 1720302003
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ryan Thomas Blucker
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2010
- Last updated
- Jun 27, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- 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 |
|---|---|---|---|---|
| 103TH0100X | Psychologist, Health Service | 1188 | OK | Yes |
Practice location
1200 Childrens AveOklahoma City, OK 73104
Phone 405-271-4407
Mailing address
1100 Ne 13th StOklahoma City, OK 73117-1039
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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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