Blair Wellness Group a Professional Psychological Corp

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BLAIR WELLNESS GROUP A PROFESSIONAL PSYCHOLOGICAL CORP

Practice address

9454 Wilshire Blvd PH6
Beverly Hills, CA 90212-2937

Phone

(310) 866-6414

NPI assigned

Feb 16, 2017

Organization subpart

No

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

Authorized official

Name

Cassiby F Blair, PSYD

Title

Owner

Phone

(310) 866-6414

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cassidy F Blair, PSY.D.

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1366607012
  NPD (past)

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1962941450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 WILSHIRE BLVD # 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": "9454 WILSHIRE BLVD PH6",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122937",
            "telephone_number": "310-866-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIR WELLNESS GROUP A PROFESSIONAL PSYCHOLOGICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "CASSIBY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-866-6414",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexander Bittner, PA-C
• Natalie Black, DDS
• Linda Blakeley, PH.D.
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• Dina Rapoport Block, M.D.

• Clinical Psychologist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.