Blackbird Institute

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BLACKBIRD INSTITUTE

Practice address

444 34TH St
Oakland, CA 94609-2816

Phone

(510) 604-0428

NPI assigned

Feb 6, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Eugene P Porter, MFT

Title

Officer

Phone

(510) 604-0428

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jewel Love Jr., M.A.

  • Marriage & Family Therapist
  • Oakland, CA
  • NPI 1417321068
  NPD (past)

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1144926684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 34TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092816",
            "telephone_number": "510-604-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 34TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092816",
            "telephone_number": "510-604-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKBIRD INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "510-604-0428",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey L. Black, M.D.
• Sierra Autumn Black, M.A.
• Steven B. Black, MD
• Zackary Howard Black
• Blackbird Family Therapy, Inc.
• David Michael Blacklock Jr., M.D.
• Alissa Blackman, LMFT
• Colleen Elizabeth Blackman
• Steven E Blackman
• Benjamin Amos Blackmon II

• Adult Mental Health Clinic/Center in Oakland, CA
• Providers in Oakland, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.