CK Blackmore Marriage & Family Therapy, Prof Corp

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

85721 Issued in CA

Legal business name

CK BLACKMORE MARRIAGE & FAMILY THERAPY, PROF CORP

Doing business as

CK Blackmore Psychotherapy

Practice address

3150 18TH St
257
San Francisco, CA 94110-2074

Phone

(518) 269-5458

NPI assigned

Oct 4, 2016

Last updated

Oct 4, 2016By 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. Christina Olivieri Blackmore, MFT, PHD

Title

Owner/Psychotherapist

Phone

(518) 269-5458

Specialties & licenses 1

Addresses

Other names 1

• CK Blackmore Psychotherapy Doing business as

Locations

Practitioners 1

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.

• Christina Olivieri, MFT

  • Mental Health Counselor
  • San Francisco, CA
  • NPI 1235510363
  NPD (past)

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1932659844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 PERALTA AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941106241",
            "telephone_number": "518-269-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 18TH ST",
            "address_2": "257",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102074",
            "telephone_number": "518-269-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CK BLACKMORE MARRIAGE & FAMILY THERAPY, PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "BLACKMORE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "OLIVIERI",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "518-269-5458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MFT, PHD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "85721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CK Blackmore Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Citywheelchairs
• Citywide Case Management
• Citywide Case Management
• Citywide Case Management
• Citywide UCSF
• Patricia Claeys-Schmidt, DDS
• Claimovex Billing Co LLC
• Victoria Clair
• David M. Claman, MD
• Charles Harrison Clanton III, MD

• Marriage & Family Therapist in San Francisco, CA
• Providers in San Francisco, 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 Oct 4, 2016; 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.