Robert Jerome Blair II, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS004500-L Issued in PA

Practice address

252 S State St
Newtown, PA 18940-3511

Phone

(215) 579-8620

Fax

(215) 579-1910

NPI assigned

May 15, 2006

Last updated

Nov 29, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1295786226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 S STATE ST",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403511",
            "telephone_number": "215-579-8620",
            "fax_number": "215-579-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 S STATE ST",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403511",
            "telephone_number": "215-579-8620",
            "fax_number": "215-579-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "ROBERT",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS004500-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ishita Bhavsar, BDS, DMD, MS
• Katrina Diane Biglin, BCBA
• Lauren Billinger, MA, MFT
• Bio-Medical Applications of Pennsylvania, Inc. (Fresenius Kidney Care Newtown)
• Roland Tiko Biron, MD, DMD
• Patricia Eugenia Blasingame
• Blossom Nutrition Counseling LLC
• Bluprint Counseling LLC
• Deborah J Bob, APRN
• Jennifer Boggs, RDH

• Psychologist in Newtown, PA
• Providers in Newtown, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.