Briana Blackshear

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

375 W Onondaga St
Syracuse, NY 13202-1888

Phone

(315) 478-2030

NPI assigned

Oct 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Briana Webb Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Central New York Services

  • Community/Behavioral Health Agency
  • Syracuse, NY
  • NPI 1043656556
  NPD (past)
• Central New York Services

  • Community/Behavioral Health Agency
  • Syracuse, NY
  • NPI 1518190602
  NPD (past)
• Central New York Services, Inc.

  • Multi-Specialty Clinic/Center
  • Utica, NY
  • NPI 1407363492
  NPD (past)

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1831640531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 W ONONDAGA ST",
            "address_2": "SUITE 10",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132104621",
            "telephone_number": "315-478-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 W ONONDAGA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021888",
            "telephone_number": "315-478-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSHEAR",
        "first_name": "BRIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508898321",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANA",
            "last_name": "WEBB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tavia Black, PRS
• Blackmer Family Eyewear
• Han Song Blackmer
• Pamela M. Blackmer, R.D.
• Myron Blackmon
• Stuart L Blackwood, M.D.
• Blair Counseling Services
• Donald C Blair, MD
• Erin Elizabeth Blair, NURSE PRACTITIONER
• Kelley Blair, RN

• Counselor in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.