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JANICE BLACKHAM PSY.D.
NPI 1114353851
Psychologist - Clinical in New York, NY

Active since September 25, 2013PECOS Enrolled
1745 BROADWAY, 17 FL., NEW YORK, NY 10019(212) 851-8100(212) 537-0102 Get Directions Write a Review

NPPES record last updated: June 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Janice Blackham Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JANICE BLACKHAM PSY.D. (NPI 1114353851) is an individual clinical provider in New York, New York, licensed in New York (020195) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114353851
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJANICE BLACKHAMCredential: PSY.D.
Location Address1745 BROADWAY, 17 FL.New York, NY 10019-4640
Mailing Address1745 Broadway, 17 FlNew York, NY 10019-4640 · (212) 851-8100 · Fax (212) 537-0102
Phone(212) 851-8100
Fax(212) 537-0102
Sole ProprietorYes
Enumeration DateSeptember 25, 2013
Last NPPES UpdateJune 10, 2015
✔ NPI 1114353851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 020195
Definition
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.
1745 BROADWAY, New York, NY 10019
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Other Identifiers 3

Medicare PINA400096989NY
Medicare PING4000114076NY
Medicaid03695865NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Janice Blackham Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LORRI REYNARD PH.D.
Psychologist (Clinical)
1745 BROADWAY, 17 FL
NEW YORK, NY 10019
New York County (212) 851-8100
DR. LISA G ROBIN PH.D.
Psychologist (Clinical)
1745 BROADWAY, 17 FL
NEW YORK, NY 10019
New York County (212) 851-8100
DAVID WELLEN PH.D.
Psychologist (Clinical)
1745 BROADWAY, 17 FL
NEW YORK, NY 10019
New York County (212) 851-8100
CHARLES MIEZEJESKI PH.D.
Psychologist (Clinical)
1745 BROADWAY, 17 FL
NEW YORK, NY 10019
New York County (212) 851-8100
ABIGAIL GLEASON PH.D.
Psychologist (Clinical)
1745 BROADWAY, 17 FL
NEW YORK, NY 10019
New York County (212) 851-8100
DEBRA D CASSIDY PH.D.
Psychologist (Clinical)
1745 BROADWAY, 17 FL
NEW YORK, NY 10019
New York County (212) 851-8100
CYNTHIA FRANKEL PH.D.
Psychologist (Clinical)
1745 BROADWAY, 17 FL
NEW YORK, NY 10019
New York County (212) 851-8100
MOON LEE PH.D.
Psychologist (Clinical)
1745 BROADWAY, 17 FL
NEW YORK, NY 10019
New York County (212) 851-8102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Janice Blackham's NPI number?

The NPI number for Janice Blackham is 1114353851. It was assigned to this individual provider in the NPPES registry on September 25, 2013.

Where is Janice Blackham located?

Janice Blackham practices at 1745 Broadway 17 Fl., New York, NY 10019. The listed phone number is (212) 851-8100.

What is Janice Blackham's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Janice Blackham enrolled in Medicare?

Yes. Janice Blackham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Janice Blackham was last updated on June 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.