Richard C. Blackford, PH.D. P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS006224L Issued in PA

Legal business name

RICHARD C. BLACKFORD, PH.D. P.C.

Doing business as

Affiliated Counseling Services

Practice address

1444 W 38TH St
Erie, PA 16508-2346

Phone

(814) 835-7043

Fax

(814) 838-2925

NPI assigned

Apr 1, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard C. Blackford, PHDNPI 1053318360

Title

Psychologist

Phone

(814) 835-7043

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Affiliated Counseling Services Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Chadwick Blackford, PH.D.

  • Clinical Psychologist
  • Erie, PA
  • NPI 1053318360
  Medicare reassignment Care Compare group Authorized official
• Mary Blackford, LCSW

  • Clinical Social Worker
  • Erie, PA
  • NPI 1891240750
  Medicare reassignment Care Compare group
• Amy Elizabeth Boxer, NCC

  • Counselor
  • Erie, PA
  • NPI 1831769496
  Medicare reassignment Care Compare group
• Mikaela McKee, LICENSED SOCIAL WORK

  • Social Worker
  • Hamburg, NY
  • NPI 1487199808

  PA

  Medicare reassignment
• Meagan Jennifer Brown, LPC

  • Professional Counselor
  • Erie, PA
  • NPI 1720612385
  NPD
• Corissa Claar, LSW

  • Social Worker
  • Erie, PA
  • NPI 1881351096
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1144615600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 W 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082346",
            "telephone_number": "814-835-7043",
            "fax_number": "814-838-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 W 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082346",
            "telephone_number": "814-835-7043",
            "fax_number": "814-838-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C. BLACKFORD, PH.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "BLACKFORD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "814-835-7043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS006224L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1053318360",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affiliated Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Marie Ricci, CRNFA
• Armando Ricci, DO
• Beth Ann Ricci, DO
• Jessica Marie Rice, LPC
• Richard a Sekula PHD LLC
• Richard Reichel, II, DMD, PC
• Georgann M Richard, LCSW
• Elizabeth Richards
• Nedra K Richards, LCSW
• Amanda Marie Richardson, OTR/L

• Clinical Psychologist in Erie, PA
• Providers in Erie, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.