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

Jason Mayotte-Blum, PHD

Individual provider Psychologist · NPI 1952702078

Jason Mayotte-Blum, PHD is a Psychologist in Nellis AFB, Nevada. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2014
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone: (702) 653-3880
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP5878 (MN)

Record details

NPI number1952702078
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 8, 2014
Last updated in NPPESJanuary 22, 2021
Certification dateJanuary 22, 2021

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