Blair Psychological Services, Inc.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

P1602016 Issued in AR

Legal business name

BLAIR PSYCHOLOGICAL SERVICES, INC.

Practice address

202 N Pear St
Suite a
Searcy, AR 72143-5273

Phone

(501) 380-7333

Fax

(501) 380-7010

NPI assigned

Mar 10, 2016

Organization subpart

No

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

Authorized official

Name

Amanda Blair, ED.S., LPC, NCSP

Title

President; Clinician

Phone

(501) 380-7333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1477914901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N PEAR ST",
            "address_2": "SUITE A",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721435273",
            "telephone_number": "501-380-7333",
            "fax_number": "501-380-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N PEAR ST",
            "address_2": "SUITE A",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721435273",
            "telephone_number": "501-380-7333",
            "fax_number": "501-380-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIR PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT; CLINICIAN",
        "authorized_official_telephone_number": "501-380-7333",
        "authorized_official_credential": "ED.S., LPC, NCSP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "AR",
            "license": "P1602016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Bingham
• Bird and Bear Medical, LLC
• Makenzi Payton Black
• Sharon Beth Black, PT
• Makenzie Blaine
• Brittany D. Blair, LPE-I
• Brent M Blakely, M.D.
• Heather Dawn Bland, PT, ATC, CSCS
• Janet Adele Blankenship, RN
• Haylee Bles, QBHP

• All providers in Searcy, AR
• Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.