Carlee A Blamphin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

51726 Issued in MA

Practice address

1153 Centre Street
Faulkner Hospital/Psychiatry
Jamaica Plain, MA 02130

Phone

(617) 489-1117

NPI assigned

May 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1073571691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 BROOKSIDE AVE",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024781034",
            "telephone_number": "617-489-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 CENTRE STREET",
            "address_2": "FAULKNER HOSPITAL/PSYCHIATRY",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "02130",
            "telephone_number": "617-489-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAMPHIN",
        "first_name": "CARLEE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "51726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark I Bigelow, LMHC
• Cassidy Bingham
• Birth Savvy, LLC
• Michelle Blair
• Dora Blake-McLaughlin
• Deborah Lynne Block, PH.D.
• Eric Michael Bluman, M.D.
• Nathan Albert Bohnke, DPT
• Judith A Bolandz, LCSW, MED
• Francesca Bollitier

• Psychiatry Physician in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.