Individual provider Active NPI

Blair Dana Schwartz, PSY.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1437567328
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
020303-1 Issued in NY
Practice address
10 E End Ave
Suite 1N
New York, NY 10075-1106
Phone
(917) 553-2184
Fax
(646) 692-6857
NPI assigned
Jul 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 020303-1 NY Primary

Addresses

Primary practice location

10 E End Ave
Suite 1N
New York, NY 10075-1106

Mailing address

401 E 81St St
Apt. 1B
New York, NY 10028-5811
Phone (917) 553-2184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20171207001053 NY Practitioner - Clinical Psychologist 0244597847 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

530 E 72ND St
Apt 5a
New York, NY 10021-4844
Phone (917) 553-2184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
020303-1NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1437567328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 81ST ST",
            "address_2": "APT. 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100285811",
            "telephone_number": "917-553-2184",
            "fax_number": "646-692-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E END AVE",
            "address_2": "SUITE 1N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751106",
            "telephone_number": "917-553-2184",
            "fax_number": "646-692-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "BLAIR",
        "middle_name": "DANA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020303-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.