Stacey Lee Blase, PHD - Psychologist in Fairfield, CT

Stacey Lee Blase, PHD is a Psychologist - Clinical based in Fairfield, Connecticut. Stacey Lee Blase is licensed to practice in Connecticut (license number 003696) and her current practice location is 21 Sherman Ct, Fairfield, Connecticut. She can be reached at her office (for appointments etc.) via phone at (203) 533-9496.

NPI number for Stacey Lee Blase is 1487918660 and her current mailing address is 21 Sherman Ct, Fairfield, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487918660.

Contact Information

Stacey Lee Blase, PHD
21 Sherman Ct,
Fairfield, CT 06824-5825
(203) 533-9496
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameStacey Lee Blase
GenderFemale
SpecialityPsychologist - Clinical
Location21 Sherman Ct, Fairfield, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487918660
  • Provider Enumeration Date: 07/02/2012
  • Last Update Date: 02/06/2022

Medical Identifiers

Medical identifiers for Stacey Lee Blase such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487918660NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 021811 (New York)Secondary
103TC0700XPsychologist - Clinical 003696 (Connecticut)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacey Lee Blase is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacey Lee Blase, PHD
21 Sherman Ct,
Fairfield, CT 06824-5825

Ph: (203) 533-9496
Stacey Lee Blase, PHD
21 Sherman Ct,
Fairfield, CT 06824-5825

Ph: (203) 533-9496

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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