Blake Kirschner PSYD PC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

BLAKE KIRSCHNER PSYD PC

Practice address

211 Park Ave
Scotch Plains, NJ 07076-1040

Phone

(503) 933-9837

NPI assigned

Oct 29, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Blake Kirschner, PSYD

Title

President

Phone

(503) 933-9837

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1609410034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PARK AVE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761040",
            "telephone_number": "503-933-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PARK AVE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761040",
            "telephone_number": "503-933-9837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE KIRSCHNER PSYD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "KIRSCHNER",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-933-9837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwynneth Bensen, LAC
• Michele Berry
• Frank Richard Besson, DMD
• Dhanya Bhat, NCC, LPC
• Shreena Bhojani
• Alexandria N Bleich, LPC
• Avrohom Blesofsky, LCSW
• Alex Charles Blitz, MSW, LCSW
• Martin Blume, LCSW
• Gerardina Bogdanovic, D.C., OT

• Psychologist in Scotch Plains, NJ
• Providers in Scotch Plains, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.