Cassidy F Blair, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY22022 Issued in CA

Practice address

12021 Wilshire Blvd
Suite 430
Los Angeles, CA 90025-1206

Phone

(310) 866-6414

Fax

(310) 826-4706

NPI assigned

Jul 22, 2008

Last updated

Feb 13, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blair&Associates, a Professional Psychological Corporation

  • Psychologist
  • Los Angeles, CA
  • NPI 1700030582
  Authorized official Same address or phone
• Blair Wellness Group a Professional Psychological Corp

  • Clinical Psychologist
  • Beverly Hills, CA
  • NPI 1962941450
  NPD (past)
• Howard L Askins, a Medical Corporation

  • Psychiatry Physician
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  • NPI 1134493505
  NPD (past)
• Phillip D. Snyder PHD Clinical Psychologist a Professional Corp

  • Clinical Psychologist
  • Covina, CA
  • NPI 1750655122
  NPD (past)

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1366607012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9454 WILSHIRE BLVD",
            "address_2": "PH 6",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122937",
            "telephone_number": "310-866-6414",
            "fax_number": "310-826-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 WILSHIRE BLVD",
            "address_2": "SUITE 430",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251206",
            "telephone_number": "310-866-6414",
            "fax_number": "310-826-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "CASSIDY",
        "middle_name": "F",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY22022",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blair C. Filler, M.D., Inc.
• George Arthur Blair II, MD
• Blair Smart MD
• Brent Blair, MA
• Cara Jeanette Blair, MA, OTR/L
• Cherie Blair, MD
• Madison Blair
• Michele Blair
• Susan Blair
• Xena Blair, LCSW

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.