Active NPI
Claudia A Blackburn, PSYD
- Psychologist
- Lititz, PA
National Provider Identifier
1326136284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS016125
- Practice address
- 524 Front Street
Lititz, PA 17543-1708 - Phone
- (717) 299-7202
- Fax
- (717) 627-3550
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychologist | 103T00000X | PS016125 | PA | Primary |
Addresses
Primary practice location
524 Front Street
Lititz, PA 17543-1708
Mailing address
711 Skyline Drive
Lancaster, PA 17601-4441
Phone (717) 299-7202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS016125 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1326136284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 SKYLINE DRIVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014441",
"telephone_number": "717-299-7202",
"fax_number": "717-627-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 FRONT STREET",
"city": "LITITZ",
"state": "PA",
"postal_code": "175431708",
"telephone_number": "717-299-7202",
"fax_number": "717-627-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKBURN",
"first_name": "CLAUDIA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS016125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lititz, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.