Barry Blackwell, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

23556020 Issued in WI

Practice address

741 N Grand Ave
#210
Waukesha, WI 53186-4820

Phone

(262) 547-2463

Fax

(262) 547-8002

NPI assigned

Dec 5, 2005

Last updated

Jul 13, 2026By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Catholic Charities of the Archdiocese of Milwaukee Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Racine, WI
  • NPI 1619950011
  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730163569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 N GRAND AVE",
            "address_2": "#210",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864820",
            "telephone_number": "262-547-2463",
            "fax_number": "262-547-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 N GRAND AVE",
            "address_2": "#210",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864820",
            "telephone_number": "262-547-2463",
            "fax_number": "262-547-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "23556020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30351800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel A Bizjak, BS, CSAC, ICS
• Ann Bjerke, RPH
• Julie Bjorklund, REGISTERED NURSE
• Laurie Donnell Bjustrom, PH.D.
• Kelly M Blackburn, RN
• Alyssa Ann Blaeser, LCSW
• Carolyn Jean Blair, RD
• Michael C Blanchard, RN, APNP
• Paige Marie Blanchette
• Serena Blanchette, SAC-IT

• Psychiatry Physician in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.