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

Ronnie L Blackwell, MS

Individual provider Psychologist · NPI 1386258804

Ronnie L Blackwell, MS is a Clinical Psychologist in Orange, California. Graduated from Boston University School of Medicine in 2019, 7 years ago. Works from 2 locations. Licensed in Massachusetts.

Years since qualifying
7
Trained at
Boston University School of Medicine
Licensed in
MA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1201 W La Veta Ave
Orange, CA 92868-4203
Phone: (714) 509-8481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Everett Ave, Chelsea, MA 02150-2309 — (617) 884-8300

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MA)

Record details

NPI number1386258804
Entity typeIndividual (Type 1)
GenderMale
Credentials MS
Sole proprietorNo
NPI enumeratedSeptember 2, 2020
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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