Michael Blair

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4343 N 16TH St
Phoenix, AZ 85016-5338

Phone

(602) 274-4343

Fax

(480) 573-3592

NPI assigned

May 5, 2022

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26465/brand/1/csg/1/fhir/r4

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.

• Community 43

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1477151546
  NPD
• Highland Medical Center, PC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1740583186
  NPD (past)

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1346986064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165338",
            "telephone_number": "602-274-4343",
            "fax_number": "480-573-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165338",
            "telephone_number": "602-274-4343",
            "fax_number": "480-573-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janis E Blair, M.D.
• Jason Blair
• Joey Dawn Blair, MA,CCC-SLP
• Lauren Blair, BCBA
• Mark A Blair, M.D.
• Thanmaya R Blair, MD
• Brenda Blake-Johnson
• Lauren Perry Blake, PSYD
• Nadia R Blake
• Raymond Blake III

• All providers in Phoenix, AZ
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.