Sherry Blair Institute for Inspirational Change, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SHERRY BLAIR INSTITUTE FOR INSPIRATIONAL CHANGE, LLC

Practice address

80 Park St
Montclair, NJ 07042

Phone

(973) 746-0333

Fax

(973) 746-1533

NPI assigned

Sep 10, 2008

Last updated

Jun 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sherry Ann Blair, LCSW, BCPCNPI 1588716583

Title

Owner

Phone

(973) 746-0333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sherry A Blair, LCSW

  • Clinical Social Worker
  • Montcllair, NJ
  • NPI 1588716583
  Authorized official Same address or phone

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1477702884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 WALNUT ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422926",
            "telephone_number": "973-943-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "973-746-0333",
            "fax_number": "973-746-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY BLAIR INSTITUTE FOR INSPIRATIONAL CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-746-0333",
        "authorized_official_credential": "LCSW, BCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0032484",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omar Rizwan Sheikh
• Sheila a Bond MD, PC
• Shen Radiance, LLC
• Carol Shepheard-Walwyn, RD
• Erik Sherman, MD
• Zachary Shery
• Boni Shevelove, LSW
• Samantha Shultz
• Carly Sia
• Matthew Sidler

• Community/Behavioral Health Agency in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.