Active NPI
William Anthony Anderson Blair Jr., PH.D.
- Psychologist
- Chula Vista, CA
National Provider Identifier
1861647455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY-35278
- Practice address
- 803 David Dr
Chula Vista, CA 91910-6402 - Phone
- (334) 332-6540
- Fax
- (888) 527-7925
- NPI assigned
- Nov 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY-004370 | AZ | |
| Psychologist | 103T00000X | PSY-35278 | CA | Primary |
Addresses
Primary practice location
803 David Dr
Chula Vista, CA 91910-6402
Mailing address
803 David Dr
Chula Vista, CA 91910-6402
Phone (619) 796-5263
Other practice location 1
200 Mercy Circle
Directorate for Mental Health
Camp Pendleton, CA 92055
Phone (760) 719-3070
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-004370 | AZ | MD | Psychologist |
| PSY-35278 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732924800000",
"number": "1861647455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 DAVID DR",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919106402",
"telephone_number": "619-796-5263",
"fax_number": "888-527-7925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 DAVID DR",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919106402",
"telephone_number": "334-332-6540",
"fax_number": "888-527-7925"
}
],
"practiceLocations": [
{
"address_1": "200 Mercy Circle",
"address_2": "Directorate for Mental Health",
"address_purpose": "LOCATION",
"city": "Camp Pendleton",
"state": "CA",
"postal_code": "92055",
"country_code": "US",
"telephone_number": "760-719-3070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLAIR",
"first_name": "WILLIAM",
"middle_name": "ANTHONY ANDERSON",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-24",
"last_updated": "2024-11-30",
"certification_date": "2024-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "PSY-004370",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY-35278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.