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Provider Profile

Gary A. Blank, PhD

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At a glance

About Dr. Blank

Gary A. Blank, PhD is a clinical psychologist practicing in Santa Rosa, CA. Gary is also listed as specializing in psychologist — clinical. This provider record is associated with NPI 1316160906.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 1967

Specialty

Credentials & Licensing

CA · PsychologistBoard of Psychology
No. 3303CurrentExpires Oct 31, 2026Since 1969
NPINational Provider Identifier
1316160906Issued 2007

Snapshot · verify with the board ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Gary A. Blank's specialty?

Gary A. Blank is a clinical psychologist in Santa Rosa, CA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Gary A. Blank?

Gary A. Blank is listed at 2455 Bennett Valley Rd Suite 208B, Santa Rosa, CA 95404. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Gary A. Blank?

The number on file is (707) 526-2525. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Gary A. Blank's NPI number?

Gary A. Blank's National Provider Identifier is 1316160906. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Gary A. Blank's education?

Gary A. Blank attended Other, graduating in 1967. This comes from the CMS National Downloadable File.

CMS public data

How long has Gary A. Blank been practicing?

Gary A. Blank has 59 years experience. Calculated from a graduation year of 1967, reported in the CMS National Downloadable File.

CMS public data

Has Gary A. Blank confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Gary A. Blank. If this is you, claiming it is free.

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