DR. JONATHAN MATTHEW BLAIR (NPI# 1285940064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285940064 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN MATTHEW BLAIR |
| Credential | PH.D. |
| Practice Address |
5123 W St Joe Hwy Suite 103 Lansing MI 48917-4093 |
| Practice Telephone | 5173234099 |
| Practice Fax Number | 5173233334 |
| Mailing Telephone | 5173234099 |
| Mailing Fax Number | 5173233334 |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2011-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301014658 | MI | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891727954 | Jonathan B Blair | Emergency Medicine | 1100 West Stewart Drive, Orange, CA 92868-3849 | 2006-07-07 |
| Street Address |
5123 W ST JOE HWY SUITE 103 |
| City | LANSING |
| State | MI |
| Zip Code | 48917-4093 |
| 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 |
| 1154764827 | Jonathan M. Blair Phd, Pllc | Psychologist | 5123 W St Joe Hwy, Suite 103, Lansing, MI 48917-4093 | 2013-04-12 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 48917 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932500030 | Sarah Elizabeth Westcot | Psychologist | 801 S Waverly Rd Ste 204, Lansing, MI 48917-4200 | 2014-09-08 |
| 1326332396 | Talitha P Easterly | Psychologist | 302 South Waverly, Suite 1, Lansing, MI 48917 | 2011-06-07 |
| 1285942672 | Judy L. Isaac | Psychologist | 33 Myers Rd, Lansing, NY 14882-9024 | 2010-09-20 |
| 1568794329 | Nicole Lynn Gilbertson | Psychologist | 3960 Patient Care Way Ste 104, Ste 104, Lansing, MI 48911-4276 | 2010-02-04 |
| 1851456396 | Lynn Marshall Darling | Psychologist | 6630 Centurion Dr, Ste 150, Lansing, MI 48917-8276 | 2006-12-26 |
| 1104929066 | David Arthur Harley | Psychologist | 1720 Willow Creek Dr, Lansing, MI 48917-8848 | 2006-09-06 |
| 1417374109 | Tabitha Mpamira | Psychologist | 812 E Jolly Rd, Lansing, MI 48910-6818 | 2014-03-20 |
| 1699116228 | Katherine Dawn Gimmestad | Psychologist | 2025 S Washington Ave, Lansing, MI 48910-0828 | 2013-07-11 |
| 1154764827 | Jonathan M. Blair Phd, Pllc | Psychologist | 5123 W St Joe Hwy, Suite 103, Lansing, MI 48917-4093 | 2013-04-12 |
| 1245547439 | Amy Lynn Hines | Psychologist | 5303 S Cedar St, Building 2, Lansing, MI 48911-3800 | 2010-09-09 |
| Find all providers in LANSING | ||||
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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.