Laurel Eve Blackman, D.O., M.B.A.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

M4715 Issued in TX

Practice address

6 Glen Cove Dr
Rockport, ME 04856-4272

Phone

(512) 228-2441

NPI assigned

Jun 28, 2006

Last updated

Sep 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CT, ME, AZ, IN5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 5

Specialty

Psychiatry

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heart of Texas Region MHMR CenterGroup PAC ID 9830105105, 26 clinicians

Bexar County Board of Trustees for Mental Health Mental RetardationGroup PAC ID 5496652760, 59 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Master of Business Administration

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lblackman886427@ahs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bexar County Board of Trustees for Mental Health Mental Retardation

  dba The Center for Health Care Services

  • Counselor
  • San Antonio, TX
  • NPI 1730134586
  Medicare reassignment Care Compare group NPD
• Heart of Texas Region MHMR Center

  dba Heart of Texas Behavioral Health Network

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waco, TX
  • NPI 1639399132
  Medicare reassignment Care Compare group NPD
• Austin Travis County Mental Health and Mental Retardation Center

  dba Integral Care

  • Psychiatry Physician
  • Austin, TX
  • NPI 1750337259
  Medicare reassignment NPD
• Bluebonnet Trails Community MHMR Center

  dba Bluebonnet Trails Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Round Rock, TX
  • NPI 1730135864

  Psychiatry

  Medicare reassignment NPD
• Border Region MH Mr Community Center

  • Psychiatry Physician
  • Laredo, TX
  • NPI 1124060173
  Medicare reassignment NPD
• Camino Real Community MHMR Center

  dba Camino Real Community Services

  • Case Management Agency
  • Lytle, TX
  • NPI 1154411262
  Medicare reassignment NPD
• Cerebral Medical Group, a Professional Corporation

  • Psychiatry Physician
  • Glendale, CA
  • NPI 1992355879

  TX

  Medicare reassignment NPD
• Collin County Mental Health Mental Retardation Center

  dba LifePath Systems

  • Mental Health Counselor
  • McKinney, TX
  • NPI 1871576835

  Psychiatry

  Medicare reassignment NPD
• HLN Physicians Inc

  • Psychiatry Physician
  • Gold River, CA
  • NPI 1073899191

  TX

  Medicare reassignment NPD
• State of Connecticut

  dba Connecticut Valley Hospital

  • Psychiatric Hospital
  • Middletown, CT
  • NPI 1245256247
  Medicare reassignment NPD
• The Gulf Coast Center

  • Psychiatry Physician
  • League City, TX
  • NPI 1245285899
  Medicare reassignment NPD
• University of Texas Health Science Center at Tyler-Facility-Physician

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Tyler, TX
  • NPI 1063400778
  Medicare reassignment NPD

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1194752576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 GLENVIEW AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031447",
            "telephone_number": "512-228-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GLEN COVE DR",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564272",
            "telephone_number": "512-228-2441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4168 County Road 444",
            "address_purpose": "LOCATION",
            "city": "Waelder",
            "state": "TX",
            "postal_code": "789595328",
            "country_code": "US",
            "telephone_number": "830-283-3003",
            "fax_number": "954-781-7173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "LAUREL",
        "middle_name": "EVE",
        "name_prefix": "Dr.",
        "credential": "D.O., M.B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": "054073",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "BP10023295",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "M4715",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "DO2515",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Berman, LCPC
• Kirk Patrick Bernadino, MD
• Brenda K Berry, RN CEN
• Bfli
• Layla Billings
• Taylor Marie Blake, FNP
• Martin R Blaney II, DNAP, APRN-CRNA
• Hannah Judith Blasius, AGACNP
• Chandler S Blodgett, PHARMD
• Allan J Bogdan, MD

• Psychiatry Physician in Rockport, ME
• Providers in Rockport, ME by specialty
• Psychiatry Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.