Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Janice Blackham, PSYD

Individual provider Clinical Psychologist · NPI 1114353851

Janice Blackham, PSYD is a Clinical Psychologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1745 Broadway 17 Fl
New York, NY 10019-4640
Phone: (212) 851-8100
Fax: (212) 537-0102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 020195 (NY)

Record details

NPI number1114353851
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedSeptember 25, 2013
Last updated in NPPESJune 10, 2015

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