Active NPI
Paulette Blais, M.A.
- Psychologist
- Indiana, PA
National Provider Identifier
1083603492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS-005746-L
- Practice address
- 235 Gompers Ave
Indiana, PA 15701-2129 - Phone
- (724) 349-9277
- Fax
- (724) 349-2112
- NPI assigned
- Oct 18, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS-005746-L | PA | Primary |
Addresses
Primary practice location
235 Gompers Ave
Indiana, PA 15701-2129
Mailing address
235 Gompers Ave
Indiana, PA 15701-2129
Phone (724) 349-9277
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410268 | Other | PA | UPMC |
| 187649 | Other | PA | VALUE OPTIONS |
| 656562 | Other | PA | PENNSYLVANIA BLUE SHIELD |
| 503297 | Other | PA | HIGHMARK BCBS |
| 5192317 | Other | PA | AETNA |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-005746-L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1083603492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 GOMPERS AVE",
"city": "INDIANA",
"state": "PA",
"postal_code": "157012129",
"telephone_number": "724-349-9277",
"fax_number": "724-349-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 GOMPERS AVE",
"city": "INDIANA",
"state": "PA",
"postal_code": "157012129",
"telephone_number": "724-349-9277",
"fax_number": "724-349-2112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIS",
"first_name": "PAULETTE",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-18",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS-005746-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "410268",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "187649",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA BLUE SHIELD",
"identifier": "656562",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "503297",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5192317",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indiana, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.