Blackshear Psychological Services, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0002499 Issued in TN

Legal business name

BLACKSHEAR PSYCHOLOGICAL SERVICES, INC.

Practice address

2011 Church St
Suite 501
Nashville, TN 37203-2000

Phone

(615) 373-8757

Fax

(615) 284-4679

NPI assigned

Aug 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kristen P. Blackshear, PSY.D.

Title

Psychologist/President

Phone

(615) 370-5193

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1962695825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 CHURCH ST",
            "address_2": "SUITE 501",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032000",
            "telephone_number": "615-373-8757",
            "fax_number": "615-284-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 CHURCH ST",
            "address_2": "SUITE 501",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032000",
            "telephone_number": "615-373-8757",
            "fax_number": "615-284-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKSHEAR PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "BLACKSHEAR",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "615-370-5193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "0002499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Lefran Blackman, MS, RD, LDN
• Talisa Blackman
• Mark Blackmon, PA-C
• Zachary Bryant Blackmon, PHARMD
• Sandra Blackmore
• Tyra Blackshear-Mosley, RN
• Kristen Price Blackshear, PSY.D.
• Brittany Blackwell, AGACNP
• Cynthia Lynn Blackwell, OTD, OTR/L
• Janet Gwen Blackwell, M.D.

• Clinical Psychologist in Nashville, TN
• Providers in Nashville, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.