Active NPI
Tehilla Blackman, M.S.
- Developmental Therapist
- Brooklyn, NY
National Provider Identifier
1518221118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 87340
- Practice address
- 649 39TH St
Brooklyn, NY 11232-3101 - Phone
- (718) 851-3300
- NPI assigned
- Jun 28, 2012
- Last updated
- Jun 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 87340 | NY | Primary |
Addresses
Primary practice location
649 39TH St
Brooklyn, NY 11232-3101
Mailing address
1157 E 14TH St
Brooklyn, NY 11230-4813
Phone (917) 589-5490
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87340 | NY | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340841600000",
"number": "1518221118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1157 E 14TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112304813",
"telephone_number": "917-589-5490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "649 39TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112323101",
"telephone_number": "718-851-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKMAN",
"first_name": "TEHILLA",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-28",
"last_updated": "2012-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NY",
"license": "87340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.