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

Dr. Jeremy Blank, PSYD

Individual provider Clinical Psychologist · NPI 1215260591

Dr. Jeremy Blank, PSYD is a Clinical Psychologist in Temecula, California. Qualified in 2013, 13 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

27403 Ynez Rd Ste 205
Temecula, CA 92591-4616
Phone: (951) 595-7386
Fax: (951) 414-3770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PSY27148 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY27148 (CA)

Record details

NPI number1215260591
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedSeptember 17, 2009
Last updated in NPPESDecember 16, 2023
Certification dateDecember 16, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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