Joseph G Blackinton, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3970 Issued in OR

Practice address

Coastal Center, LLC
1834 McPherson Ave
North Bend, OR 97459

Phone

(541) 267-2113

Fax

(541) 267-5071

NPI assigned

Dec 11, 2006

Last updated

Nov 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Center, LLC.Group PAC ID 8426046707, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Coastal Center, LLC.

  • Mental Health Counselor
  • Coos Bay, OR
  • NPI 1538278536
  Medicare reassignment Care Compare group NPD
• Heartland Psychological Services

  • Mental Health Counselor
  • Yankton, SD
  • NPI 1568708683
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1396805016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COASTAL CENTER, LLC",
            "address_2": "1834 MCPHERSON AVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "97459",
            "telephone_number": "541-267-2113",
            "fax_number": "541-267-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COASTAL CENTER, LLC",
            "address_2": "1834 MCPHERSON AVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "97459",
            "telephone_number": "541-267-2113",
            "fax_number": "541-267-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKINTON",
        "first_name": "JOSEPH",
        "middle_name": "G",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SD",
            "license": "250",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Benson, M.A., CF-SLP
• David Francis Bertapelle, LCSW
• Carrie Jean Bettenhausen
• Kristian Betzer
• Ari D Binder, DMD
• Abigail Marie Blake, RN
• Rolin H Block
• Michael Anthony Boivin
• Leah Bolle-Van Loo
• Joni Bour

• Clinical Psychologist in North Bend, OR
• Providers in North Bend, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.