Active NPI
Blair Burgin, PSYD
- Psychologist
- Baltimore, MD
National Provider Identifier
1174209977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 07589
- Practice address
- 1741 Ashland Ave
Baltimore, MD 21205-1531 - Phone
- (585) 275-3563
- NPI assigned
- Jun 26, 2023
- Last updated
- Sep 18, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 07589 | MD | Primary |
Addresses
Primary practice location
1741 Ashland Ave
Baltimore, MD 21205-1531
Mailing address
1741 Ashland Ave
Baltimore, MD 21205-1531
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07589 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1174209977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1741 ASHLAND AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212051531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 ASHLAND AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212051531",
"telephone_number": "585-275-3563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGIN",
"first_name": "BLAIR",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-26",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "07589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.