Organization Active NPI

Irene T Blackford PHD LLC

  • Clinical Psychologist
  • Erie, PA
National Provider Identifier
1245650845
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS006739 Issued in PA
Legal business name
IRENE T BLACKFORD PHD LLC
Practice address
410 Cranberry St Ste 130
Erie, PA 16507-1071
Phone
(814) 873-4141
Fax
(814) 459-4673
NPI assigned
Apr 22, 2014
Last updated
May 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Irene Blackford, PHDNPI 1619273406
Title
Psychologist
Phone
(814) 873-4141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS006739 PA Primary

Addresses

Primary practice location

410 Cranberry St Ste 130
Erie, PA 16507-1071

Mailing address

410 Cranberry St Ste 130
Erie, PA 16507-1071
Phone (814) 873-4141

Other identifiers 1

IdentifierTypeStateIssuer
349983OtherPAMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

100 State St
Ste 312
Erie, PA 16507
Phone (814) 454-4673

1373B W 6th St
Erie, PA 16505
Phone (814) 873-4141

410 Cranberry St
Ste 130
Erie, PA 16507
Phone (814) 873-4141

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1245650845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CRANBERRY ST STE 130",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071071",
            "telephone_number": "814-873-4141",
            "fax_number": "814-459-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CRANBERRY ST STE 130",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071071",
            "telephone_number": "814-873-4141",
            "fax_number": "814-459-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE T BLACKFORD PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "BLACKFORD",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "814-873-4141",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS006739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "349983",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.