Lia Osunfunlayo Blaustein, MA, PSYD
Individual provider Active NPI Psychologist · Orinda, CA
NPI 1316635246 · NPPES record last updated Dec 19, 2024
Key facts
- NPI
- 1316635246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY35521 (CA)
- Practice address
- 4 Orinda Way BLDG B
#250
Orinda, CA 94563-2515 - Phone
- (415) 840-0844
- NPI assigned
- Apr 27, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY35521 | CA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY35521 | CA | Yes |
Addresses
Primary practice location
4 Orinda Way BLDG B
#250
Orinda, CA 94563-2515
Mailing address
912 Cole St # 368
San Francisco, CA 94117-4316
Phone (415) 840-0844
Other providers in Orinda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.