BLACKBURN PSYCHIATRY LLC
NPI 1558807925
Psychiatry & Neurology - Psychiatry in Millvale, PA
About Blackburn Psychiatry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACKBURN PSYCHIATRY LLC (NPI 1558807925), doing business as Vint Blackburn Md, is a healthcare organization registered as a psychiatry in Millvale, Pennsylvania and active in the NPI registry since January 2017. The organization lists Mathilda Nance, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blackburn Psychiatry 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 Blackburn Psychiatry LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Blackburn Psychiatry LLC's NPI number?
The NPI number for Blackburn Psychiatry LLC is 1558807925. It was assigned to this organization in the NPPES registry on January 10, 2017. The provider was formerly known as Vint Blackburn MD.
Where is Blackburn Psychiatry LLC located?
Blackburn Psychiatry LLC is located at 132 Howard St, Millvale, PA 15209. The listed phone number is (412) 533-3995.
What is Blackburn Psychiatry LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Blackburn Psychiatry LLC enrolled in Medicare?
Yes. Blackburn Psychiatry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blackburn Psychiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Blackburn Psychiatry 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 Blackburn Psychiatry LLC was last updated on August 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Blackburn Psychiatry Llc · NPI 1558807925
Psychiatry organization in Millvale, Pennsylvania. Organization record, active in the CMS NPPES registry since January 10, 2017.
## Identity
- **NPI:** 1558807925 (Entity type: Organization)
- **Enumerated:** January 10, 2017
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Mathilda Nance, OFFICE MANAGER
## Practice location
- **Address:** 132 HOWARD ST, Millvale, PA 15209-2524
- **Phone:** (412) 533-3995 · **Fax:** (412) 533-3998
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Psychiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 15, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1558807925) · Data from the CMS NPPES public registry.