LEAH ANN PERNICIARO - BLAIR PSY.D.
NPI 1861752990
Psychologist - Clinical in Boston, MA

Q: What is Leah Perniciaro - Blair's NPI number?

The NPI number for Leah Perniciaro - Blair is 1861752990. It was assigned to this individual provider in the NPPES registry on May 23, 2012.

Q: What is Leah Perniciaro - Blair's specialty?

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

Q: Is Leah Perniciaro - Blair enrolled in Medicare?

No. Leah Perniciaro - Blair has opted out of Medicare through September 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since May 23, 2012Opted out of Medicare · through Sep 1, 2026

13 BOWDOIN STREET, SUITE 1 A/B, BOSTON, MA 02114(508) 852-1805 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2021, Sep 28, 2016 (2 updates tracked since 2016).

On this page

About Leah Ann Perniciaro - Blair Psy.d. NPPES

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

LEAH ANN PERNICIARO - BLAIR PSY.D. (NPI 1861752990) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (10213) and active in the NPI registry since May 2012. She has opted out of Medicare through September 1, 2026.

NPPES Registry Identity

NPI1861752990

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameLEAH ANN PERNICIARO - BLAIRCredential: PSY.D.

Location Address13 BOWDOIN STREET, SUITE 1 A/BBoston, MA 02114

Mailing Address13 Bowdoin Street, Suite 1 A/bBoston, MA 02114

Phone(508) 852-1805

Sole ProprietorNo

Enumeration DateMay 23, 2012

Last NPPES UpdateJuly 1, 20212 updates tracked since enumeration

NPPES CertifiedJuly 1, 2021

✔ NPI 1861752990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MA · 10213

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

13 BOWDOIN STREET, Boston, MA 02114

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Leah Ann Perniciaro - Blair Psy.d. 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 September 1, 2024 through September 1, 2026.

Opt-Out Effective DateSeptember 1, 2024

Opt-Out In Effect ThroughSeptember 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Leah Perniciaro - Blair's NPI number?

The NPI number for Leah Perniciaro - Blair is 1861752990. It was assigned to this individual provider in the NPPES registry on May 23, 2012.

Where is Leah Perniciaro - Blair located?

Leah Perniciaro - Blair practices at 13 Bowdoin Street Suite 1 A/B, Boston, MA 02114. The listed phone number is (508) 852-1805.

What is Leah Perniciaro - Blair's specialty?

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

Is Leah Perniciaro - Blair enrolled in Medicare?

No. Leah Perniciaro - Blair has opted out of Medicare through September 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Leah Perniciaro - Blair was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.