Individual provider Active NPI

Sue Erikson Bloland, LCSW

  • Psychoanalyst
  • New York, NY
National Provider Identifier
1891916813
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
070129-1 Issued in NY
Practice address
26 West 9TH Street
Suite 9E
New York, NY 10011-8920
Phone
(212) 982-0275
NPI assigned
May 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 070129-1 NY Primary

Addresses

Primary practice location

26 West 9TH Street
Suite 9E
New York, NY 10011-8920

Mailing address

53 Maple Avenue
Apt 1B
Hastings on Hudson, NY 10706-1417
Phone (914) 231-5548

Other identifiers 1

IdentifierTypeStateIssuer
P731042OtherNYOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100816000205 NY Practitioner - Clinical Social Worker 5193859940 Practice locations: Hastings on Hudson, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

53 Maple Ave
Apt 1B
Hastings on Hudson, NY 10706-1417
Phone (845) 633-5010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070129-1NYMDPsychoanalyst

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891916813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 MAPLE AVENUE",
            "address_2": "APT 1B",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061417",
            "telephone_number": "914-231-5548",
            "fax_number": "914-231-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 WEST 9TH STREET",
            "address_2": "SUITE 9E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118920",
            "telephone_number": "212-982-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOLAND",
        "first_name": "SUE",
        "middle_name": "ERIKSON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "070129-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P731042",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.