Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jason Randelle Blizzard, PHD

Individual provider Psychologist · NPI 1245877802

Dr. Jason Randelle Blizzard, PHD is a Clinical Psychologist in Lebanon, New Hampshire. Qualified in 2018, 8 years ago. Practices with Mary Hitchcock Memorial Hospital, a 1,266-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia and New Hampshire.

Years since qualifying
8
Licensed in
GA, NH
In the registry since
2019
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

1 Medical Center Dr
Lebanon, NH 03756-0001
Phone: (603) 650-5000
Fax: (603) 640-1228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1551 Jennings Mill Rd Unit 600a, Watkinsville, GA 30677-7264 — (912) 531-4509

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 1663 (NH)
Counseling Psychologist Taxonomy 103TC1900X · Licence 004353 (GA)

Record details

NPI number1245877802
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 3, 2019
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mary Hitchcock Memorial Hospital — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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