DR. SUPRIYA BLAIR (NPI# 1366995508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366995508 |
| Entity Type | Individual |
| Full Name | DR. SUPRIYA BLAIR |
| Credential | PSYD |
| Practice Address |
1 Ten Broeck St Ste 1 Albany NY 12210-2521 |
| Practice Telephone | 5185010092 |
| Mailing Telephone | 5185010092 |
| Enumeration Date | 2016-07-24 |
| Last Update Date | 2020-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
021718 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 Geyser Rd, Saratoga Springs, NY 128669069 | 5185833035 | 5185834247 |
| 516 Washington Ave, Rensselaer, NY 121441437 | 5185833035 |
| Street Address |
1 TEN BROECK ST STE 1 |
| City | ALBANY |
| State | NY |
| Zip Code | 12210-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851876296 | Michele Jane Harmon-gordon | Social Worker | Arbor Hill Elementary School, 1 Arbor Drive, Albany, NY 12210 | 2018-10-02 |
| 1235416348 | Elizabeth Haggerty Sontz | Registered Nurse | 1 Dudley Heights, Albany, NY 12210 | 2011-11-03 |
| 1821194002 | Christine M Daniel | Pharmacist | 800 Irving Ave, Va Medical Center, Syracuse, NY 12210 | 2006-09-15 |
| 1700187143 | Terry Paige | Contractor | 374 Hudson Ave, Albany, NY 12210-1003 | 2010-11-16 |
| 1396014122 | Pamela Chris Howard | Speech-Language Pathologist | 75 Willett St, 6a, Albany, NY 12210-1037 | 2011-12-22 |
| 1538471404 | Helen Titus Putriment I | Massage Therapist | 225 Lark St, Albany, NY 12210-1101 | 2010-07-08 |
| 1326461542 | Pamela Schwarz | Massage Therapist | 225 Lark St, Albany, NY 12210-1101 | 2014-01-23 |
| 1497709232 | Fred C Storm | Obstetrics & Gynecology | 259 Lark St, Albany, NY 12210-1108 | 2006-05-19 |
| 1720072952 | Victor L Tulchinsky | Family Medicine | 255 Lark St, Albany, NY 12210-1108 | 2005-09-02 |
| 1154502714 | Kiufong Melissa Hon-tulchinsky | Dietitian, Registered | 255 Lark St, Albany, NY 12210-1108 | 2007-11-23 |
| Find all providers in zip 12210 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867314 | Sheri Lynn Mainquist | Psychologist | 850 Stannage Ave Apt 5, Albany, CA 94706-1642 | 2020-06-25 |
| 1528687399 | Rachel Magin | Psychologist | 2 Clara Barton Dr # Mc164, Albany, NY 12208-3472 | 2020-04-13 |
| 1346707270 | Matthew Golley | Psychologist | Samuel S. Stratton Vamc, 113 Holland Avenue, Albany, NY 12208 | 2019-02-27 |
| 1346739950 | James Franklin Boswell | Psychologist | Social Science 399 1400 Washington Avenue, Albany, NY 12222-0001 | 2018-05-09 |
| 1013417286 | Linda Renee Bockheim | Psychologist | 425 2nd Ave Sw Ste 204, Albany, OR 97321-2485 | 2018-02-14 |
| 1700384468 | G.h. Wilber, Psy.d., Pllc | Psychologist | 5 Pine West Plz Ste 511, Albany, NY 12205-5587 | 2018-01-29 |
| 1447775200 | Heidi Rochelle Wright | Psychologist | 1365 Washington Ave Ste 102a, Albany, NY 12206-1098 | 2017-08-13 |
| 1225411341 | Bradley Biggsphd Psychologist P.C. | Psychologist | 142 N Allen St, Suite C, Albany, NY 12206-1700 | 2015-07-07 |
| 1215339171 | Mary Kathleen O'neill | Psychologist | 314 South Manning Blvd., Albany, NY 12208 | 2014-09-23 |
| 1396181194 | Elizabeth Krainer | Psychologist | 1235 Marin Ave Ste D, Albany, CA 94706-2042 | 2013-05-20 |
| Find all providers in ALBANY | ||||
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| 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.