JONATHAN M. BLAIR PHD, PLLC


Address: 5123 W St Joe Hwy, Suite 103, Lansing, MI 48917-4093
Phone: 5173234099

JONATHAN M. BLAIR PHD, PLLC (NPI# 1154764827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154764827
Entity Type Organization
Organization Name JONATHAN M. BLAIR PHD, PLLC
Practice Address 5123 W St Joe Hwy
Suite 103
Lansing
MI 48917-4093
Mailing Address 2909 S Cambridge Rd
Lansing
MI 48911-1024
Practice Telephone 5173234099
Mailing Telephone 7742398605
Enumeration Date 2013-04-12
Last Update Date 2013-04-12
Authorized Official Name DR. JONATHAN MATTHEW BLAIR (LICENSED PSYCHOLOGIST)
Authorized Official Telephone 7742398605
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
6301014658 MI Behavioral Health & Social Service Providers
N 103TF0000X Psychologist
Specialization: Family
6301014658 MI Behavioral Health & Social Service Providers
Y 103T00000X Psychologist 6301014658 MI Behavioral Health & Social Service Providers

Office Location

Street Address 5123 W ST JOE HWY
SUITE 103
City LANSING
State MI
Zip Code 48917-4093

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184638587 Melinda J Simon Psychologist 5123 W St Joe Hwy, Suite 103, Lansing, MI 48917-4093 2006-07-28
1255991923 Michael Nykamp Dentist 5123 W St Joe Hwy, Lansing, MI 48917-4093 2019-06-15
1689110561 Nora Golper Counselor 5123 W St Joe Hwy, Suite 103, Lansing, MI 48917-4093 2017-01-16
1811370299 Jennifer Harper Social Worker 5123 W St Joe Hwy, Ste. 103, Lansing, MI 48917-4093 2015-07-03
1720479124 Heather Schmitz Counselor 5123 W St Joe Hwy, Suite 103, Lansing, MI 48917-4093 2015-02-07
1831503481 Carrie Quisenberry Counselor 5123 W St Joe Hwy, Lansing, MI 48917-4093 2014-06-11
1386066355 Nontle Nako Psychologist 5123 W St Joe Hwy, Ste 103, Lansing, MI 48917-4093 2014-01-10
1285940064 Jonathan Matthew Blair Psychologist 5123 W St Joe Hwy, Suite 103, Lansing, MI 48917-4093 2010-08-31
1811135486 Karla J Block Social Worker 5123 W St Joe Hwy, Suite 103, Lansing, MI 48917-4093 2009-02-04
1134328321 Megan Elizabeth Stowers Dentist 5123 W St Joe Hwy, Lansing, MI 48917-4093 2007-07-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053937102 Tawni Klein Speech-Language Pathologist 701 Snow Rd Suite A, Lansing, MI 48917 2020-06-24
1639700545 Steevens Pierre Mirville Technician 5814 Cabrena Drive, Lansing, MI 48917 2020-01-29
1376197830 Cheryl Ann Day Physical Therapist 7107 Treasure Isle, Lansing, MI 48917 2019-08-01
1912423849 National Seating & Mobility, Inc Durable Medical Equipment & Medical Supplies 419 Lentz Ct, Lansing, MI 48917 2017-08-22
1215367149 Thomas Ball Pharmacist 5125 W Saginaw, Lansing, MI 48917 2013-11-13
1144658659 Eaton Care Center, LLC Skilled Nursing Facility 12200 Broadbent, Lansing, MI 48917 2013-10-18
1154768596 Casey Stokes Physical Therapist 4911 W St Joe Hwy Suite 101, Lansing, MI 48917 2013-05-24
1164774659 Bona Birki Gada Pharmacist 2410 W. Willow St, Apt A203, Lansing, MI 48917 2012-10-08
1497037584 Fms Lansing, LLC Clinic/Center 916 Mall Drive East, Suite 100, Lansing, MI 48917 2011-09-14
1326332396 Talitha P Easterly Psychologist 302 South Waverly, Suite 1, Lansing, MI 48917 2011-06-07
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154952224 Nicha Amy Nasamran Psychologist 2929 Covington Ct Unit 201, Lansing, MI 48912-4940 2020-01-28
1326447020 Saving Lives Inc. Psychologist 17125 Bernadine St, Lansing, IL 60438-1473 2014-08-19
1700177227 A New Hope Counseling Center Psychologist 3815 W St Joe St Ste A400, Lansing, MI 48917-5600 2011-05-02
1700073228 Hilton Tellis Thomas Psychologist 302 S Waverly Rd, Suite 1, Lansing, MI 48917-3631 2007-09-28
1144373812 Mark Cannizzaro Psychologist 120 N Washington Sq Ste 300, Lansing, MI 48933-1658 2007-01-18
1114083870 Winfred Joseph Smith Psychologist 913 W Holmes Rd Ste 143b, Lansing, MI 48910-0435 2006-12-28
1881762250 Ronald Dale Fandrick Psychologist 3815 W Saint Joseph St Ste A400, Lansing, MI 48917-5600 2006-12-01
1679641583 Patricia Resek Longan Psychologist 6500 Centurion Drive, Suite 260, Lansing, MI 48917-8240 2006-11-30
1346335890 Roberta Tekotte Hale Psychologist 1540 Lake Lansing Rd., Suite 101, Lansing, MI 48912 2006-10-03
1467552901 Richard Henry Thornes Psychologist 1020 S Creyts Rd Ste 307, Lansing, MI 48917-8236 2006-09-24
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Competitor

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City LANSING
Zip Code 48917

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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