Individual provider Active NPI

Blair Richlin, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1215310685
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
026706-1 Issued in NY
Practice address
325 Kent Ave Apt N656
Brooklyn, NY 11249-5334
Phone
(267) 408-1808
NPI assigned
Jul 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL012155 PA
Speech-Language Pathologist 235Z00000X 026706-1 NY Primary

Addresses

Primary practice location

325 Kent Ave Apt N656
Brooklyn, NY 11249-5334

Mailing address

325 Kent Ave Apt N656
Brooklyn, NY 11249-5334
Phone (267) 408-1808

Other practice location 1

4601 Flat Rock Rd
Unit #27
Philadelphia, PA 19127-2027
Phone (267) 408-1808

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 Science

State licenses

LicenseStateTypeSpecialty
026706-1NYMDSpeech-Language Pathologist
SL012155PAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1215310685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 KENT AVE APT N656",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112495334",
            "telephone_number": "267-408-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 KENT AVE APT N656",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112495334",
            "telephone_number": "267-408-1808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4601 Flat Rock Rd",
            "address_2": "Unit #27",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191272027",
            "country_code": "US",
            "telephone_number": "267-408-1808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHLIN",
        "first_name": "BLAIR",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL012155",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026706-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.

Verify at the official NPI Registry.