Caroline Ann Blackman, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

252120 Issued in NY

Practice address

30 E 60TH St Ste 1002
New York, NY 10022-1042

Phone

(646) 620-8620

NPI assigned

Sep 17, 2008

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1679722367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 60TH ST STE 1002",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221042",
            "telephone_number": "646-620-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 60TH ST STE 1002",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221042",
            "telephone_number": "646-620-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "CAROLINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "252120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Blackham, PSY.D.
• Sean Michael Blackledge, PHARMD
• Timothy Blackley, DPT
• Heather Blacklidge, LCSW
• Beverly Blackman
• Emma Sarah Blackman, LCSW
• Latoya Blackman, RN
• Marsha T Blackman, CASAC-T
• Mary Chrissen Loy Blackman, OD
• Kristen Blackmon

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.