Individual provider Active NPI

Blair Hershman Mor, PSY.D.

  • Clinical Psychologist
  • Boca Raton, FL
National Provider Identifier
1154584050
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8257 Issued in FL
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

Updated by the provider on May 5, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.