| Blackbird Psychological Services Llc | |
|
1901 W Royale Dr Muncie IN 47304-2265 | |
| (765) 393-1008 | |
| Not Available |
| Full Name | Blackbird Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1901 W Royale Dr, Muncie, Indiana |
| Authorized Official Name and Position | Erin Sadler (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 7653931008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackbird Psychological Services Llc 1901 W Royale Dr Muncie IN 47304-2265 Ph: (765) 393-1008 | Blackbird Psychological Services Llc 1901 W Royale Dr Muncie IN 47304-2265 Ph: (765) 393-1008 |
| NPI Number | 1548816010 |
|---|---|
| Provider Enumeration Date | 08/12/2019 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Medicare PECOS PAC ID | 4688090798 |
|---|---|
| Medicare Enrollment ID | O20200820000440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548816010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jodi L Nixon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417953670 PECOS PAC ID: 2567415789 Enrollment ID: I20050301000116 |
Center For Psychological Development, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 526 N Martin Ave, Muncie, IN 47303 Phone: 765-287-1922 | |
Freedom Work Counseling And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 E Washington St, Muncie, IN 47305 Phone: 765-273-3224 | |
Patrick M. Moore, Acsw, Lcsw, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1945 W Royale Dr, Muncie, IN 47304 Phone: 765-288-7939 Fax: 765-288-7841 | |
Midwest Healthstrategies, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3813 S. Madison Street, Muncie, IN 47302 Phone: 765-751-3300 Fax: 765-751-1115 | |
Full Circle Family Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5141 W Hessler Rd Ste D, Muncie, IN 47304 Phone: 765-231-6922 | |
Optum Behavioral Care Of Colorado, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4221 N Broadway Ave, Muncie, IN 47303 Phone: 765-315-8047 | |
Family Harmony Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 S Ribble Ave, Muncie, IN 47302 Phone: 765-256-1747 |