Individual provider Active NPI

Cindy Blank-Edelman, LMHC

  • Mental Health Counselor
  • Boston, MA
National Provider Identifier
1003986464
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5453 Issued in MA
Practice address
7 Haviland St
Boston, MA 02115-2683
Phone
(617) 267-0900
Fax
(617) 267-3667
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5453 MA Primary

Addresses

Primary practice location

7 Haviland St
Boston, MA 02115-2683

Mailing address

7 Haviland St
Boston, MA 02115-2683
Phone (617) 267-0900

Other identifiers 1

IdentifierTypeStateIssuer
1303546MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003986464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HAVILAND ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152683",
            "telephone_number": "617-267-0900",
            "fax_number": "617-267-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HAVILAND ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152683",
            "telephone_number": "617-267-0900",
            "fax_number": "617-267-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK-EDELMAN",
        "first_name": "CINDY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303546",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.