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BLACKBIRD PSYCHOLOGICAL SERVICES
NPI 1548816010
Psychologist - Clinical in Muncie, IN

Active since August 12, 2019
1901 W ROYALE DR, MUNCIE, IN 47304(765) 393-1008 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 23, 2023, Jun 17, 2020, Dec 16, 2019 and 1 more (4 updates tracked since 2019).

About Blackbird Psychological Services NPPES

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

BLACKBIRD PSYCHOLOGICAL SERVICES (NPI 1548816010) is a healthcare organization registered as a clinical in Muncie, Indiana and active in the NPI registry since August 2019. The organization lists Erin Sadler, Owner/psychologist, as its authorized official.

NPPES Registry Identity

NPI1548816010
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameBLACKBIRD PSYCHOLOGICAL SERVICES LLC
Location Address1901 W ROYALE DRMuncie, IN 47304-2265
Mailing Address1901 W Royale DrMuncie, IN 47304-2265 · (765) 393-1008
Phone(765) 393-1008
Organization SubpartNo
Authorized OfficialErin SadlerOwner/psychologist · (765) 393-1008
Enumeration DateAugust 12, 2019
Last NPPES UpdateJune 29, 20234 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1548816010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
1901 W ROYALE DR, Muncie, IN 47304
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Other Names 1

Doing Business AsBlackbird Psychological Services

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blackbird Psychological Services 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 Blackbird Psychological Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jodi Nixon, PH.D., HSPP
Clinical Psychologist
NPI 1417953670
1904 W. ROYALE DR.
Muncie, IN 47304
(765) 284-0043
✔ 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 Blackbird Psychological Services LLC's NPI number?

The NPI number for Blackbird Psychological Services LLC is 1548816010. It was assigned to this organization in the NPPES registry on August 12, 2019. The provider is doing business as Blackbird Psychological Services.

Where is Blackbird Psychological Services LLC located?

Blackbird Psychological Services LLC is located at 1901 W Royale Dr, Muncie, IN 47304. The listed phone number is (765) 393-1008.

What is Blackbird Psychological Services LLC's specialty?

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

Is Blackbird Psychological Services LLC enrolled in Medicare?

Yes. Blackbird Psychological Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blackbird Psychological Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Blackbird Psychological Services 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.

What insurance does Blackbird Psychological Services LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Blackbird Psychological Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blackbird Psychological Services LLC was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.