Mary Wallace Blackwell, EDS, MED, BSED

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

8857 New Sappington Rd
Saint Louis, MO 63126-1946

Phone

(314) 330-1848

NPI assigned

Sep 30, 2025

Last updated

Sep 30, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1306710876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8857 NEW SAPPINGTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261946",
            "telephone_number": "314-330-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8857 NEW SAPPINGTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261946",
            "telephone_number": "314-330-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "MARY",
        "middle_name": "WALLACE",
        "credential": "EDS, MED, BSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Blackwell
• Anita Jane Blackwell, RNCPNP
• Danielle Carmen Blackwell, ACNP
• Deborah A Blackwell, MSN, RN, FNP-C
• Gillian Blackwell, ANP
• Rebecca Blackwell, BCBA
• Jennalie Evelyn Blackwood, PHARM.D.
• Sara K Blackwood
• Lindsey Blaha, PA-C
• Lydia Lucille Blaies, DPT

• School Psychologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• School Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.