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

Dr. Teresa Jane Blakely, PHD

Individual provider Clinical Psychologist · NPI 1699726828

Dr. Teresa Jane Blakely, PHD is a Clinical Psychologist in Columbus, Ohio. Qualified in 1981, 45 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
45
Licensed in
OH
In the registry since
2006
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

275 E Longview Ave
Columbus, OH 43202-1239
Phone: (614) 262-8317
Fax: (614) 262-5609
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5190 Blazer Pkwy, Dublin, OH 43017-1339 — (614) 316-7634

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3470 (OH)

Record details

NPI number1699726828
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 12, 2006
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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