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IRENE T BLACKFORD PHD LLC
NPI 1245650845
Psychologist - Clinical in Erie, PA

Active since April 22, 2014
410 CRANBERRY ST STE 130, ERIE, PA 16507(814) 873-4141(814) 459-4673 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 1, 2026, Nov 1, 2018 (2 updates tracked since 2018).

About Irene T Blackford Phd Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IRENE T BLACKFORD PHD LLC (NPI 1245650845) is a healthcare organization registered as a clinical in Erie, Pennsylvania and active in the NPI registry since April 2014. The organization lists Irene Blackford, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1245650845
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameIRENE T BLACKFORD PHD LLC
Location Address410 CRANBERRY ST STE 130Erie, PA 16507-1071
Mailing Address410 Cranberry St Ste 130Erie, PA 16507-1071 · (814) 873-4141 · Fax (814) 459-4673
Phone(814) 873-4141
Fax(814) 459-4673
Organization SubpartNo
Authorized OfficialIrene BlackfordPsychologist · (814) 873-4141
Enumeration DateApril 22, 2014
Last NPPES UpdateMay 1, 20262 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1245650845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PA · PS006739
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
410 CRANBERRY ST STE 130, Erie, PA 16507
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Other Identifiers 1

Other349983PA · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Irene T Blackford Phd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Irene T Blackford Phd LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Irene Blackford, PHD
Clinical Psychologist
NPI 1619273406
410 CRANBERRY ST STE 130
Erie, PA 16507
(814) 873-4141
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irene T Blackford Phd LLC's NPI number?

The NPI number for Irene T Blackford Phd LLC is 1245650845. It was assigned to this organization in the NPPES registry on April 22, 2014.

Where is Irene T Blackford Phd LLC located?

Irene T Blackford Phd LLC is located at 410 Cranberry St Ste 130, Erie, PA 16507. The listed phone number is (814) 873-4141.

What is Irene T Blackford Phd LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Irene T Blackford Phd LLC enrolled in Medicare?

Yes. Irene T Blackford Phd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Irene T Blackford Phd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Irene T Blackford Phd LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Irene T Blackford Phd LLC was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.