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Deactivated NPI 1437234945 Deactivated / Inactive NPI Male Practitioner

Dr. Edward G Bleker , PhD

Psychologist • Fort Worth, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edward Bleker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 25, 2006
NPI Deactivation Date January 16, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Edward Bleker, PhD was a registered Psychologist practicing in Fort Worth, TX. Throughout an active medical career spanning 19 years, Dr. Bleker provided care at the practice location at 855 MONTGOMERY ST until profile deactivation on 2025-01-16.

Practice Location & Contact Primary Location

Practice Address

855 Montgomery St

Fort Worth, TX 761072553

Telephone 8179273638
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.7 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
75 Specialists

Practicing in Fort Worth, TX (2266 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License TX 21204

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Prema Manjunath , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1013962745

Doctor of Medicine (M.D.)

Dr. Jose Silvas , MD

Psychiatry & Neurology - Psychiatry

NPI 1023060720

Doctor of Medicine (M.D.)

Dr. Anthony Winter , MD

Psychiatry & Neurology - Psychiatry

NPI 1194777839

Doctor of Medicine (M.D.)

Dr. Elma Granado , MD

Psychiatry & Neurology - Psychiatry

NPI 1215980644

Doctor of Medicine (M.D.)

Dr. Carol Nati , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1326091075

Doctor of Medicine (M.D.)

Dr. James Witschy , MD

Psychiatry & Neurology - Psychiatry

NPI 1851348114

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 16, 2025

Record deactivated on January 16, 2025

NPI Profile Active July 21, 2008

NPI status registered as active in NPPES database

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Updated Practice Location July 21, 2008

Registered at 855 MONTGOMERY ST, FORT WORTH, TX 761072553 (Tel: 8179273638)

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Updated Business Mailing Address July 21, 2008

Registered at PO BOX 99335, FORT WORTH, TX 761990335 (Tel: 8179273638)

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Provider Name / Credentials Updated July 21, 2008

Recorded as EDWARD BLEKER, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2008

Psychologist (License #21204 in TX)

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Initial NPI Registration & Enumeration October 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437234945
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2006
Last Update: July 21, 2008
Deactivation Date: January 16, 2025

Mailing Address

Po Box 99335

Fort Worth, TX 761990335

Phone: 8179273638

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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