Active NPI
Andrew David Blair, PSYD
- Clinical Psychologist
- Baltimore, MD
National Provider Identifier
1275711541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04494
- Practice address
- 1001 Cathedral St
Baltimore, MD 21201-5442 - Phone
- (410) 837-2050
- Fax
- (410) 837-7793
- NPI assigned
- Feb 8, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 04494 | MD | Primary |
Addresses
Primary practice location
1001 Cathedral St
Baltimore, MD 21201-5442
Mailing address
1001 Cathedral St
Baltimore, MD 21201-5442
Phone (410) 837-2050
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": "1202428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202428800000",
"number": "1275711541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 CATHEDRAL ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015442",
"telephone_number": "410-837-2050",
"fax_number": "410-837-7793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 CATHEDRAL ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015442",
"telephone_number": "410-837-2050",
"fax_number": "410-837-7793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "ANDREW",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-08",
"last_updated": "2008-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04494",
"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 Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.