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

Individual provider Clinical Psychologist · NPI 1295224020

Dr. Jon Blauw, PHDNE is a Clinical Psychologist in Longmont, Colorado. Qualified in 2002, 24 years ago. Practices with Family Care Center LLC, a 693-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
24
Licensed in
CO
In the registry since
2018
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Practice location Address checks out

500 Kimbark St Ste 200
Longmont, CO 80501-5585
Phone: (303) 651-1515
Fax: (720) 652-0408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0004751 (CO)

Record details

NPI number1295224020
Entity typeIndividual (Type 1)
GenderMale
Credentials PHDNE
Sole proprietorYes
NPI enumeratedMay 7, 2018
Last updated in NPPESMay 7, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Family Care Center Llc — 693 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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