Individual provider Active NPI

Blaire Ehret, PH.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1669783999
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
30389 Issued in CA
Practice address
8989 Rio San Diego Dr Ste 360
San Diego, CA 92108-1605
Phone
(619) 228-8080
NPI assigned
Jul 1, 2010
Last updated
Jul 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 30389 CA Primary

Addresses

Primary practice location

8989 Rio San Diego Dr Ste 360
San Diego, CA 92108-1605

Mailing address

8989 Rio San Diego Dr Ste 360
San Diego, CA 92108-1605
Phone (619) 228-8080

Other names 1

  • Blaire Schembari Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1669783999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8989 RIO SAN DIEGO DR STE 360",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081605",
            "telephone_number": "619-228-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8989 RIO SAN DIEGO DR STE 360",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081605",
            "telephone_number": "619-228-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRET",
        "first_name": "BLAIRE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAIRE",
            "last_name": "SCHEMBARI",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.