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Active NPI 1285940064 Individual Practitioner Male Practitioner

Dr. Jonathan Matthew Blair , PhD

Psychologist - Clinical • Lansing, MI

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Blair, PhD is a registered healthcare professional specializing in Psychologist - Clinical in Lansing, MI. Practice services are available at 5123 W ST JOE HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5123 W St Joe Hwy
Suite 103

Lansing, MI 489174093

Telephone 5173234099
Fax 5173233334
Associated Practice Facility / Clinic
🏢 Rowland W Hinds, Do Pllc Facility NPI 1306952080

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Lansing, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
27 Specialists

Practicing in Lansing, MI (3104 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License MI 6301014658

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Joel Zeman , MSW, ACSW, LMSW

Social Worker - Clinical

NPI 1013063098

Master of Social Work, Academy of Certified Social Workers, Licensed Master Social Worker

Drew Kersjes

Social Worker

NPI 1023624343
NPI 1184638587

Doctor of Psychology (Psy.D.)

Mark Allen , LMSW

Social Worker - Clinical

NPI 1205152519

Licensed Master Social Worker

NPI 1235622713

Limited Licensed Master Social Worker

NPI 1255422374

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 28, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 28, 2011

Registered at 5123 W ST JOE HWY, SUITE 103, LANSING, MI 489174093 (Tel: 5173234099)

📍
Updated Business Mailing Address December 28, 2011

Registered at 5123 W ST JOE HWY, SUITE 103, LANSING, MI 489174093 (Tel: 5173234099)

👤
Provider Name / Credentials Updated December 28, 2011

Recorded as JONATHAN BLAIR, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2011

Psychologist (License #6301014658 in MI)

🟢
Initial NPI Registration & Enumeration August 31, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285940064
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2010
Last Update: December 28, 2011
Sole Proprietor: No

Mailing Address

5123 W St Joe Hwy, Suite 103

Lansing, MI 489174093

Phone: 5173234099

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.