DR. DERRICK K BLANTON (PYSD) – Clinical Psychologist, NPI 1194830133

DR. DERRICK K BLANTON (PYSD) is a healthcare provider. based in Frisco, Texas. specializing in Clinical Psychologist. They hold the professional credentials PYSD. They hold a License No. 32512 (TX). The NPI Number for DR. DERRICK K BLANTON (PYSD) is 1194830133

Main info

Male
Sole Proprietor
Name
DR. DERRICK K BLANTON (PYSD)
NPI
1194830133
Phone
(214) 551-7104
Address
13284 BUGATTI DR
Enumeration Date
20 August 2006
Last Update Date
22 February 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. DERRICK K BLANTON (PYSD)

  • 13284, Bugatti Drive, Frisco, Denton County, Texas, 75033, United States

    FRISCO, TX 750340916

    Phone: (214) 551-7104

    Fax: (214) 615-6358

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041201000332IClinical PsychologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes405117$0
90791Psychiatric diagnostic evaluation312305$0
90785Psychiatric services complicated by communication factor308302$0
90834Psychotherapy, 45 minutes27176$0
View full utilization report →

Insurance plans in this area (ZIP 75034)

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Reviews

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Frequently asked questions

What number should I use to identify DR. DERRICK K BLANTON (PYSD) for billing?
Administrative and clinical systems typically use NPI 1194830133 for DR. DERRICK K BLANTON (PYSD).
Should I treat DR. DERRICK K BLANTON (PYSD) as an active provider?
Patients and plans typically see DR. DERRICK K BLANTON (PYSD) as active in the national extract.
What type of care does DR. DERRICK K BLANTON (PYSD) provide?
DR. DERRICK K BLANTON (PYSD)'s profile centers on Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. DERRICK K BLANTON (PYSD) tied to Frisco, Texas?
If you are local to Frisco, Texas, DR. DERRICK K BLANTON (PYSD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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