NPIMap

Organization Active NPI

Blair&Associates, a Professional Psychological Corporation

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1700030582
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY22022 Issued in CA
Legal business name
BLAIR&ASSOCIATES, A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Practice address
12021 Wilshire Blvd
#430
Los Angeles, CA 90025-1206
Phone
(310) 866-6414
Fax
(310) 826-4706
NPI assigned
Nov 6, 2008
Last updated
Apr 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Cassidy F Blair, PSY.D.NPI 1366607012
Title
Psychologist
Phone
(310) 866-6414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY22022 CA Primary

Addresses

Primary practice location

12021 Wilshire Blvd
#430
Los Angeles, CA 90025-1206

Mailing address

12021 Wilshire Blvd
#430
Los Angeles, CA 90025-1206
Phone (310) 866-6414

National Provider Directory

National Provider Directory

Locations

9454 Wilshire Blvd
Ph
Beverly Hills, CA 90212
Phone (310) 248-2662

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1700030582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 WILSHIRE BLVD",
            "address_2": "#430",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251206",
            "telephone_number": "310-866-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 WILSHIRE BLVD",
            "address_2": "#430",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251206",
            "telephone_number": "310-866-6414",
            "fax_number": "310-826-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIR&ASSOCIATES, A PROFESSIONAL PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "CASSIDY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-866-6414",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY22022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.