DR. HAYLEY BLACKWOOD (NPI# 1689115438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689115438 |
| Entity Type | Individual |
| Full Name | DR. HAYLEY BLACKWOOD |
| Credential | PH.D. |
| Practice Address |
15833 Bent Rose Way Fort Worth TX 76177 |
| Practice Telephone | 2565316658 |
| Mailing Telephone | 2565316658 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
36848 | TX | Behavioral Health & Social Service Providers |
| Street Address |
15833 BENT ROSE WAY |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225685449 | Cody Brown Dds Pllc | Dentist | 2701 W Heritage Trace Pkwy, Ste 130, Fort Worth, TX 76177 | 2019-08-22 |
| 1144782889 | Daniel Max & Marcandrea LLC | Optometrist | 8901 N. Freeway Service Rd E, Ste 105, Fort Worth, TX 76177 | 2019-04-02 |
| 1194296202 | Fresenius Medical Care Keller, LLC | Clinic/Center | 3700 N Tarrant Pkwy, Fort Worth, TX 76177 | 2018-12-16 |
| 1861961310 | Daniel Max & Marcandrea, LLC | Optometrist | 3524 Highway 114, Suite 300, Forth Worth, TX 76177 | 2018-11-14 |
| 1447732896 | Alexis Etienne Ingleton | Assisted Living Facility | 15840 Badger Creek Lm, Fort Worth, TX 76177 | 2018-09-02 |
| 1023526365 | J&l Dental Group, Pllc | Clinic/Center | 2401 Heritage Trace Parkway, Suite 121, Fort Worth, TX 76177 | 2018-01-22 |
| 1013463256 | Elianne Griselle Alarcon | Dentist | 8917 N. Freeway, Suite 117, Fort Worth, TX 76177 | 2016-08-28 |
| 1962877373 | Home Town Dental Alliance | Dentist | 8901 Tehama, Suite 119, Forth Worth, TX 76177 | 2015-12-10 |
| 1003280686 | Susan Akberzie | Nurse Practitioner | 3400 Texas Sage Trl Ste 148, Fort Worth, TX 76177 | 2015-11-19 |
| 1457760027 | Qian Amy Qian | Dentist | 9701 Harmon Rd, Suite 101, Fort Worth, TX 76177 | 2014-08-08 |
| Find all providers in zip 76177 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265931349 | Ramona Diane Burroughs | Psychologist | 855 Montgomery St Fl 4, Fort Worth, TX 76107-2553 | 2018-02-05 |
| 1326582941 | David K. Carlson | Psychologist | 5112 Leeray Rd, Fort Worth, TX 76244-9233 | 2016-12-16 |
| 1639625171 | Mary Madison Eagle | Psychologist | 4837 Bryce Ave, Fort Worth, TX 76107-4144 | 2016-08-25 |
| 1831546944 | Kalima Charway | Psychologist | 4532 Endercrest Lane, Fort Worth, TX 76123 | 2016-05-18 |
| 1821332628 | Patricia Byrd | Psychologist | 3000 'j' Street, Fort Worth, TX 76127 | 2012-11-16 |
| 1629224068 | Daniel Rayner Altman | Psychologist | 1200 W Magnolia Ave, Suite 210, Fort Worth, TX 76104-4481 | 2008-08-18 |
| 1407027279 | Mary Cecilia Robertson | Psychologist | 6420 Southwest Blvd, Suite 112, Fort Worth, TX 76109 | 2008-03-19 |
| 1043429426 | Nichelle E. Wiggins | Psychologist | 3804 E Lancaster Ave, Fort Worth, TX 76103-3523 | 2007-05-22 |
| 1871718007 | George C. Denkowski | Psychologist | 1701 River Run Ste 1105, Fort Worth, TX 76107-6557 | 2007-04-14 |
| 1104945757 | John Savell | Psychologist | 1200 Clara St, Fort Worth, TX 76110-1008 | 2007-03-28 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76177 |
Please comment or provide details below to improve the information on DR. HAYLEY BLACKWOOD.
| 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.