Active NPI
Lynn Walsh-Blair, PH.D.
- Counseling Psychologist
- Chestnut Hill, MA
National Provider Identifier
1184014532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 10738
- Practice address
- 140 Commonwealth Ave
Chestnut Hill, MA 02467-3858 - Phone
- (617) 552-3310
- NPI assigned
- Jan 23, 2015
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 10738 | MA | Primary |
Addresses
Primary practice location
140 Commonwealth Ave
Chestnut Hill, MA 02467-3858
Mailing address
140 Commonwealth Ave
Chestnut Hill, MA 02467-3858
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9129 | MA | MD | Occupational Therapist |
| 10738 | MA | MD | Mental Health Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychological Services, PLLC | Counseling | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591488000000",
"number": "1184014532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 COMMONWEALTH AVE",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 COMMONWEALTH AVE",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673858",
"telephone_number": "617-552-3310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH-BLAIR",
"first_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-23",
"last_updated": "2020-06-07",
"certification_date": "2020-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "10738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.