JASON MAYOTTE-BLUM (PH.D) – Psychologist, NPI 1952702078

JASON MAYOTTE-BLUM (PH.D) is a healthcare provider. based in Victoria, Minnesota. specializing in Psychologist. They hold the professional credentials PH.D. They hold a License No. LP5878 (MN). The NPI Number for JASON MAYOTTE-BLUM (PH.D) is 1952702078

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
JASON MAYOTTE-BLUM (PH.D)
NPI
1952702078
Phone
(952) 443-4600
Address
PO BOX 51
Enumeration Date
8 September 2014
Last Update Date
22 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524434600
Graduation Year
2013 (13 years ago)
PAC ID
5193005718
Group Practice PAC ID
7810282845
Professional Enrollment ID
I20161216000697
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for JASON MAYOTTE-BLUM (PH.D)

  • PO BOX 51

    VICTORIA, MN 553860051

    Phone: (952) 443-4600

    Type: Mailing

  • 16180 HASTINGS AVE SE STE 205

    PRIOR LAKE, MN 553729228

    Phone: (952) 443-4600

    Type: Location

  • 4700 LAS VEGAS BLVD N

    NELLIS AFB, NV 891916600

    Phone: (702) 653-3880

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55386)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810282845View full group profile
NameSpecialtyState
Clinical PsychologistMN
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical PsychologistMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

Can I use this page to confirm JASON MAYOTTE-BLUM (PH.D)'s NPI?
Yes. JASON MAYOTTE-BLUM (PH.D) is listed with NPI 1952702078 in the public NPI dataset.
Is JASON MAYOTTE-BLUM (PH.D) still practicing?
JASON MAYOTTE-BLUM (PH.D) is currently listed as active in the public NPI registry.
What taxonomy line describes JASON MAYOTTE-BLUM (PH.D)?
For research purposes, treat JASON MAYOTTE-BLUM (PH.D) as Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
What area does JASON MAYOTTE-BLUM (PH.D) serve?
JASON MAYOTTE-BLUM (PH.D)'s listing highlights Victoria, Minnesota; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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