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KAILYN BLACKMON PSYD
NPI 1447014774
Psychologist - Clinical in Saint Louis, MO

Active since February 07, 2024PECOS EnrolledAccepts Medicare Assignment
1 JEFFERSON BARRACKS RD, SAINT LOUIS, MO 63125(314) 652-4100 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kailyn Blackmon Psyd NPPES

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

KAILYN BLACKMON PSYD (NPI 1447014774) is an individual clinical provider in Saint Louis, Missouri, licensed in Iowa (124232) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1447014774
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKAILYN BLACKMONCredential: PSYD
Location Address1 JEFFERSON BARRACKS RDSaint Louis, MO 63125-4181
Mailing Address1 Jefferson Barracks RdSaint Louis, MO 63125-4181
Phone(314) 652-4100
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 7, 2024
NPPES CertifiedFebruary 7, 2024
✔ NPI 1447014774 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 IA · 124232
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.
1 JEFFERSON BARRACKS RD, Saint Louis, MO 63125
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kailyn Blackmon Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143709725
PECOS Enrollment IDI20260204003778
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$169.38 typical visit price
range $55.65 – $169.38
Typical copayment $42.34 (range $13.91 – $42.34)
Most-billed visit code 99205
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE LAZET DO
Family Medicine
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125
St. Louis County (314) 894-6505
MRS. KERRY ALICIA MCKENZIE NURSE PRACTITIONER
Nurse Practitioner (Primary Care)
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125
St. Louis County (314) 652-4100
ELIZABETH RUSSELL
Pharmacist
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125
St. Louis County (314) 652-4100
RANDOLPH G LINDER MSW
Social Worker (Clinical)
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125
St. Louis County (314) 892-6598
ROLAND IRVIN NEAL PHYSICIAN ASSISTANT
Physician Assistant (Medical)
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125
St. Louis County (314) 845-5086
JESSE LOPEZ
Counselor (Addiction (Substance Use Disorder))
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125
St. Louis County (314) 894-6598
ELIZABETH FERNANDO RN
Registered Nurse (Case Management)
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125
St. Louis County (314) 289-6654
TRACI R DOUTRE NBC-HWC
Health and Wellness Coach
1 JEFFERSON BARRACKS RD, WHOLE HEALTH DEPARTMENT
ST LOUIS, MO 63125
St. Louis County (314) 652-4100

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 Kailyn Blackmon's NPI number?

The NPI number for Kailyn Blackmon is 1447014774. It was assigned to this individual provider in the NPPES registry on February 7, 2024.

Where is Kailyn Blackmon located?

Kailyn Blackmon practices at 1 Jefferson Barracks Rd, Saint Louis, MO 63125. The listed phone number is (314) 652-4100.

What is Kailyn Blackmon's specialty?

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

Is Kailyn Blackmon enrolled in Medicare?

Yes. Kailyn Blackmon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kailyn Blackmon was last updated on February 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.