Active NPI
Blair Hershman Mor, PSY.D.
- Clinical Psychologist
- Boca Raton, FL
National Provider Identifier
1154584050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY8257
- Practice address
- 1 W Camino Real
Boca Raton, FL 33432-5966 - Phone
- (954) 253-0793
- NPI assigned
- Jul 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | PY8257 | FL | Primary |
Addresses
Primary practice location
1 W Camino Real
Boca Raton, FL 33432-5966
Mailing address
1 W Camino Real
Boca Raton, FL 33432-5966
Phone (954) 253-0793
Other practice location 1
10320 w Sandalfoot blvd #8
Boca Raton, FL 33428
Phone (954) 253-0793
Other practice location 2
1500 NW 10th Ave Ste 105
Boca Raton, FL 33486-1344
Phone (954) 253-0793
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1154584050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W CAMINO REAL",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334325966",
"telephone_number": "954-253-0793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W CAMINO REAL",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334325966",
"telephone_number": "954-253-0793"
}
],
"practiceLocations": [
{
"address_1": "10320 w Sandalfoot blvd #8",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "33428",
"country_code": "US",
"telephone_number": "954-253-0793",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 NW 10th Ave Ste 105",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334861344",
"country_code": "US",
"telephone_number": "954-253-0793",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOR",
"first_name": "BLAIR",
"middle_name": "HERSHMAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY8257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.