Tegan Blackbird (NPI# 1841211026, PAC ID# 0042226029) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
Nation Provider ID (NPI) | 1841211026 |
PAC ID by PECOS | 0042226029 |
Professional Enrollment ID | I20060301000319 |
Full Name | Tegan Blackbird |
Organization Legal Name | PSYCHOLOGICAL HEALTH AFFILIATES LLC |
Address |
108 S Main St Manheim PA 17545-1602 |
Phone Number | 7176652675 |
Gender | M |
Credential | CP |
Graduation Year | 1985 |
Primary Specialty | PSYCHOLOGIST, CLINICAL |
Group Practice PAC ID | 5698781672 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
108 S Main St, Manheim, PA 17545-1602 | 7176652675 | PSYCHOLOGICAL HEALTH AFFILIATES LLC |
Organization Legal Name | PSYCHOLOGICAL HEALTH AFFILIATES LLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Heather Rosemary Hostler | Psychologist, Clinical | Psychological Health Affiliates LLC | 934 E Chocolate Ave, Hershey, PA 17033-1215 |
William Jesse Gill | Psychologist, Clinical | Psychological Health Affiliates LLC | 108 S Main St, Manheim, PA 17545-1602 |
Street Address |
108 S MAIN ST |
City | MANHEIM |
State | PA |
Zip | 17545-1602 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelli A Cawley | Hematology/oncology | Marietta Health Care Physicians, Inc | 108 S Main St, Woodsfield, OH 43793-1023 |
Adam T Hill | Optometry | 108 S Main St, Booneville, MS 38829-3311 | |
Jill M Melby | Nurse Practitioner | Sanford Clinic | 108 S Main St, Clinic Lennox, Lennox, SD 57039-2096 |
Mark J Brady | Chiropractic | 108 S Main St, Munroe Falls, OH 44262-1638 | |
Christopher K Boschee | Family Medicine | Sanford Clinic | 108 S Main St, Clinic Lennox, Lennox, SD 57039-2096 |
William Jesse Gill | Psychologist, Clinical | Psychological Health Affiliates LLC | 108 S Main St, Manheim, PA 17545-1602 |
Pamela K Stewart | Nurse Practitioner | Sanford Clinic | 108 S Main St, Clinic Lennox, Lennox, SD 57039-2096 |
Danette R Baumann | Physician Assistant | Sanford Clinic | 108 S Main St, Clinic Lennox, Lennox, SD 57039-2096 |
Joshua David Jensen | Chiropractic | 108 S Main St, Arlington, SD 57212-2084 | |
Susan M Rodriguez Bostock | Family Medicine | Meridian Medical Group Primary Care PC | 108 S Main St, Suite 6, Ocean Grove, NJ 07756-2017 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
John H. Marsteller | Optometry | 310 Adele Ave, Manheim, PA 17545-1214 | |
Debanjana Chakrabarti | Family Medicine | Lancaster General Medical Group | 700 Lancaster Rd, Manheim, PA 17545-2314 |
Terrence Jones | Family Medicine | Lancaster General Medical Group | 700 Lancaster Rd, Manheim, PA 17545-2314 |
Samantha W Schmink | Physician Assistant | Lancaster General Medical Group | 700 Lancaster Rd, Manheim, PA 17545-2314 |
Janna G Semenuk | Family Medicine | Lancaster General Medical Group | 700 Lancaster Rd, Manheim, PA 17545-2314 |
Marianna Ruhl | Nurse Practitioner | Lancaster General Medical Group | 700 Lancaster Rd, Manheim, PA 17545-2314 |
Robert Hopkins | Family Medicine | Lancaster General Medical Group | 700 Lancaster Rd, Manheim, PA 17545-2314 |
Caitlin White | Family Medicine | Lancaster General Medical Group | 700 Lancaster Rd, Manheim, PA 17545-2314 |
Thad M Joyce | Physician Assistant | Lancaster General Medical Group | 700 Lancaster Rd, Manheim, PA 17545-2314 |
Mark Marion Burrell | General Practice | 8 N Charlotte St, Manheim, PA 17545-2408 | |
Find all physicians in zip 17545 |
City | MANHEIM |
Zip Code | 17545 |
Specialty | PSYCHOLOGIST, CLINICAL |
City + Specialty | MANHEIM + PSYCHOLOGIST, CLINICAL |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.