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DR. SUPRIYA BLAIR PSYD
NPI 1366995508
Psychologist - Clinical in Albany, NY

Active since July 24, 2016Opted out of Medicare · through Jan 11, 2027
1 TEN BROECK ST STE 1, ALBANY, NY 12210(518) 501-0092 Get Directions Write a Review

NPPES record last updated: March 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2020, Mar 17, 2018, Feb 19, 2018 (3 updates tracked since 2018).

About Dr. Supriya Blair Psyd NPPES

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

DR. SUPRIYA BLAIR PSYD (NPI 1366995508) is an individual clinical provider in Albany, New York, licensed in New York (021718) and active in the NPI registry since July 2016. She has opted out of Medicare through January 11, 2027 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366995508
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SUPRIYA BLAIRCredential: PSYD
Location Address1 TEN BROECK ST STE 1Albany, NY 12210-2521
Mailing Address1 Ten Broeck St Ste 1Albany, NY 12210-2521 · (518) 501-0092
Phone(518) 501-0092
Sole ProprietorYes
Enumeration DateJuly 24, 2016
Last NPPES UpdateMarch 27, 20203 updates tracked since enumeration
NPPES CertifiedMarch 27, 2020
✔ NPI 1366995508 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 · 021718
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.
1 TEN BROECK ST STE 1, Albany, NY 12210
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Secondary Practice Locations 2

Location 1401 Geyser RdSaratoga Springs, NY 12866-9069 · Phone (518) 583-3035 ext. 209 · Fax (518) 583-4247
Location 2516 Washington AveRensselaer, NY 12144-1437 · Phone (518) 583-3035 ext. 269

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Supriya Blair Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 11, 2017 through January 11, 2027.

Opt-Out Effective DateJanuary 11, 2017
Opt-Out In Effect ThroughJanuary 11, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12210 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Supriya Blair's NPI number?

The NPI number for Supriya Blair is 1366995508. It was assigned to this individual provider in the NPPES registry on July 24, 2016.

Where is Supriya Blair located?

Supriya Blair practices at 1 Ten Broeck St Ste 1, Albany, NY 12210. The listed phone number is (518) 501-0092.

What is Supriya Blair's specialty?

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

Is Supriya Blair enrolled in Medicare?

No. Supriya Blair has opted out of Medicare through January 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Supriya Blair was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.