Sairis Symone Blair-Diaz

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008462 Issued in NY

Practice address

5 Billy Avenue
Washingtonville, NY 10992-1401

Phone

(929) 323-0906

NPI assigned

Oct 22, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Sairis Symone Diaz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sairisdiaz@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group of New Jersey PC

  • Mental Health Counselor
  • Hoboken, NJ
  • NPI 1841949328
  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD
• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1750753315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BILLY AVENUE",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109921401",
            "telephone_number": "929-323-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BILLY AVENUE",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109921401",
            "telephone_number": "929-323-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR-DIAZ",
        "first_name": "SAIRIS",
        "middle_name": "SYMONE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2025-06-19",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAIRIS",
            "last_name": "DIAZ",
            "middle_name": "SYMONE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Begley, M.A. CCC/SLP
• Sandra R Bertolino Crapanzano, LCSW-R
• Barbara Beyer, M.D.
• Martina Bezdickova, M.D.
• Kayla Elisabeth Bishop, M.S. CCC SLP
• Blooming Grove Volunteer Ambulance Corps Inc
• Kristen Boerke
• Christine Michelle Brunet, LMSW
• Ludivinia Gonzales Caballero, M.D.
• Sandra Marie Carlino, COTA

• Mental Health Counselor in Washingtonville, NY
• Providers in Washingtonville, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.