Dr. Blied - Faces of Health - a Psychological Corporation

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

Legal business name

DR. BLIED - FACES OF HEALTH - A PSYCHOLOGICAL CORPORATION

Practice address

250 W 1St St Ste 214
Claremont, CA 91711-4743

Phone

(909) 741-2849

Fax

(909) 992-4101

NPI assigned

May 20, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Dr. Monica Ellis-Blied, PHD

Title

Director

Phone

(909) 741-2849

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monica U. Ellis-Blied, PHD

  • Clinical Psychologist
  • Claremont, CA
  • NPI 1144705369
  NPD

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1366017535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 1ST ST STE 214",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114743",
            "telephone_number": "909-741-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 1ST ST STE 214",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114743",
            "telephone_number": "909-741-2849",
            "fax_number": "909-992-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BLIED - FACES OF HEALTH - A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "ELLIS-BLIED",
        "authorized_official_first_name": "DR. MONICA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-741-2849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912ROE8",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drblied@drblied.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "250 W 1st St Ste 214",
            "city": "Claremont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917114743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Health Psychologist in Claremont, CA
• Providers in Claremont, CA by specialty
• Health Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.