Pamela Kay Blackwell

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

19310 Issued in CA

Practice address

162 Grove St Ste J
Bishop, CA 93514-2652

Phone

(760) 873-6533

Fax

(760) 873-3277

NPI assigned

Oct 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other names 1

• Pam Kay Blackwell Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pamela.blackwell.p1@direct.toiyabe.nextgenshare.com

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.

• Toiyabe Indian Health Project, Inc

  • Federally Qualified Health Center (FQHC)
  • Bishop, CA
  • NPI 1659433191
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740376532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 GROVE ST STE J",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142652",
            "telephone_number": "760-873-6533",
            "fax_number": "760-873-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 GROVE ST STE J",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142652",
            "telephone_number": "760-873-6533",
            "fax_number": "760-873-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "PAMELA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "19310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAM",
            "last_name": "BLACKWELL",
            "middle_name": "KAY",
            "credential": "M.F.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bishop Joint Union High School District
• Bishop Pediatrics and Allergy
• Bishop Unified School District
• Bishop Union Elementary School District
• Bishop Wellness Center
• William Blake, DPT
• Matthew Blankers, ACSW
• Thomas Joseph Boo, MD
• Ron Michael Borin, DDS
• Sierra M Bourne, M.D.

• Marriage & Family Therapist in Bishop, CA
• Providers in Bishop, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.