Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Cheryl Rae Blank, PHD

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1932221058

Dr. Cheryl Rae Blank, PHD is a Clinical Psychologist in Bozeman, Montana. Qualified in 1988, 38 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Montana.

Years since qualifying
38
Licensed in
MT
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

121 W Kagy Blvd
Bozeman, MT 59715-6000
Phone: (406) 587-7468
Fax: (406) 587-4520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 202 (MT)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 457 (MT)

Record details

NPI number1932221058
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 6, 2007
Last updated in NPPESJanuary 3, 2011
Mailing address4744 Itana Cir, Bozeman, MT 59715-9330

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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