IRENE T BLACKFORD (NPI# 1619273406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619273406 |
| Entity Type | Individual |
| Full Name | IRENE T BLACKFORD |
| Other Name | IRENE T BLACKFORD |
| Credential | PHD |
| Practice Address |
1373b W 6th St Erie PA 16505-2503 |
| Practice Telephone | 8148734141 |
| Practice Fax Number | 8144594673 |
| Mailing Telephone | 8148734141 |
| Mailing Fax Number | 8144594673 |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PS006739L | PA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PS006739 | PA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS006739L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE PTAN | 226411 | 01 |
| Street Address |
1373B W 6TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16505-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245650845 | Irene T Blackford Phd LLC | Psychologist | 1373b W 6th St, Erie, PA 16505-2503 | 2014-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275634 | Megan Elizabeth Rahill | Registered Nurse | 610 Seminole Dr, Erie, PA 16505 | 2018-05-16 |
| 1740784222 | Tracy Zong Cheng | Student in an Organized Health Care Education/Training Program | 1645 W 8th Street, Suite 200, Erie, PA 16505 | 2018-03-20 |
| 1073067724 | Epeople Health Care Inc | Home Health | 2133 W 8th St, Erie, PA 16505 | 2016-08-11 |
| 1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
| 1437516432 | April Vogeley | Counselor | 1004 Farrell Road, Erie, PA 16505 | 2016-01-21 |
| 1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
| 1255617908 | Shannon Renee Luke | Licensed Practical Nurse | 1416 Custer Dr., Erie, PA 16505 | 2011-10-26 |
| 1699904227 | William Jackson Koehler | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505 | 2009-07-02 |
| 1972747657 | Kristen Marie Huber | Counselor | 823 Filmore Ave, Erie, PA 16505 | 2009-04-27 |
| 1851556351 | Stephanie Lynn Miller | Technician, Other | 2564 West 12th St., Erie, PA 16505 | 2008-07-23 |
| Find all providers in zip 16505 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075956 | Lisa Pawlowski | Psychologist | 1176 Allen Ct, Erie, CO 80516-7007 | 2019-10-24 |
| 1750702791 | Melanie Hetzel-riggin | Psychologist | 5501 Gardner Dr, Erie, PA 16509-3020 | 2013-12-18 |
| 1114213295 | Stephen J Large | Psychologist | 542 W 6th St, # 3, Erie, PA 16507-1169 | 2011-06-27 |
| 1447552856 | Rebecca Lynne Billings | Psychologist | 1373b West 6th Street, Frontier Place, Erie, PA 16505-2503 | 2010-11-18 |
| 1497891360 | Bridget Ann Engel | Psychologist | 526 Briggs St., Suite A, Erie, CO 80516 | 2007-01-29 |
| 1831257849 | David James Johnson | Psychologist | 4622 Peach St., Level 2, Erie, PA 16509-2084 | 2006-12-04 |
| 1417025347 | Michelle M. Domowicz | Psychologist | 11 W 33rd St, Erie, PA 16508-2807 | 2006-11-30 |
| 1518052943 | Marilyn Marshall Hahn | Psychologist | 3939 West Ridge Road, Suite B-23, Erie, PA 16506 | 2006-10-03 |
| 1275625873 | Stephanie Shain Smith | Psychologist | 874 Mircos St, Erie, CO 80516-5407 | 2006-09-29 |
| 1346352481 | Jill Alexander-gottesman | Psychologist | 731 Lincoln Ave, Erie, PA 16505-5015 | 2006-08-31 |
| Find all providers in ERIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.