Blackbird Psychological Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BLACKBIRD PSYCHOLOGICAL SERVICES LLC

Doing business as

Blackbird Psychological Services

Practice address

1901 W Royale Dr
Muncie, IN 47304-2265

Phone

(765) 393-1008

NPI assigned

Aug 12, 2019

Last updated

Jun 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Erin Sadler, PHDNPI 1376066050

Title

Owner/Psychologist

Phone

(765) 393-1008

Specialties & licenses 1

Addresses

Other names 1

• Blackbird Psychological Services Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 3

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.

• Jodi Lynn Nixon, PH.D., HSPP

  • Counseling Psychologist
  • Muncie, IN
  • NPI 1417953670
  Medicare reassignment NPD
• Erin L Sadler, PHD

  • Clinical Psychologist
  • Muncie, IN
  • NPI 1376066050
  Authorized official Same address or phone
• Lauren Cunningham, PHD

  • Health Service Psychologist
  • Muncie, IN
  • NPI 1073908539
  NPD

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1548816010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W ROYALE DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042265",
            "telephone_number": "765-393-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W ROYALE DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042265",
            "telephone_number": "765-393-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKBIRD PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "SADLER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "765-393-1008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blackbird Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blackbird Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Eric Bischoff, PHD
• Amy Lynn Biser-Carvel
• Kyle Davidson Bishop, MD
• Paul J Bittelmeyer, PSYD/JD
• Tanisa Latrese Bixler
• Joshua William Blain, PHARMD
• Anne Marie Blake
• Spencer Justin Blakely, CAA
• Cassandra Rose Blanchard
• Trey Richard Bland

• Clinical Psychologist in Muncie, IN
• Providers in Muncie, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.