Joy Blackburn, NCSP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

10167526 Issued in IN

Practice address

5275 Kentucky Ave
Indianapolis, IN 46221-3616

Phone

(317) 856-5265

Fax

(317) 856-2156

NPI assigned

Mar 22, 2011

Last updated

Oct 29, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Hamilton Center Inc.

  dba WIN Recovery-Knox

  • Methadone Clinic
  • Vincennes, IN
  • NPI 1265053854
  NPD (past)
• Hamilton Center, Inc.

  • Community/Behavioral Health Agency
  • Terre Haute, IN
  • NPI 1649007774
  NPD (past)
• MSD of Decatur Township

  • Local Education Agency (LEA)
  • Indianapolis, IN
  • NPI 1922387422
  NPD (past)

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1912206509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 KENTUCKY AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462213616",
            "telephone_number": "317-856-5265",
            "fax_number": "317-856-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 KENTUCKY AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462213616",
            "telephone_number": "317-856-5265",
            "fax_number": "317-856-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "JOY",
        "credential": "NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "10167526",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006185",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhiannon Black
• Stephen Douglas Black, PT
• William L Black Jr., M.D.
• Corinne Nicole Blackburn, MD
• Devon M Blackburn, NP
• Kesley V Blackburn
• Mary Blackburn, C.N.M.
• Sally Elizabeth Blackburn
• Travis Blackburn
• Evette Blackman, LCSW

• School Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• School Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.