TEGAN BLACKBIRD PH D
NPI 1841211026
Psychologist - Clinical in Manheim, PA
About Tegan Blackbird Ph D NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TEGAN BLACKBIRD PH D (NPI 1841211026) is an individual clinical provider in Manheim, Pennsylvania, licensed in Pennsylvania (PS004895L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tegan Blackbird Ph D 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.
Medicare Billing Reassignment
Medicare enrollment records show Tegan Blackbird reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Elizabethtown, PA 17022
- Reassigned Medicare billing, Pennsylvania enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tegan Blackbird's NPI number?
The NPI number for Tegan Blackbird is 1841211026. It was assigned to this individual provider in the NPPES registry on July 22, 2006.
Where is Tegan Blackbird located?
Tegan Blackbird practices at 108 S Main St, Manheim, PA 17545. The listed phone number is (717) 964-8897.
What is Tegan Blackbird's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Tegan Blackbird enrolled in Medicare?
Yes. Tegan Blackbird 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.
Which organization bills Medicare for Tegan Blackbird's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tegan Blackbird reassigns Medicare benefits to Journey Therapy, LLC (Elizabethtown, PA). The 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 Tegan Blackbird's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tegan Blackbird was last updated on August 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Tegan Blackbird, PH D · NPI 1841211026
Clinical provider in Manheim, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 22, 2006.
## Identity
- **NPI:** 1841211026 (Entity type: Individual)
- **Enumerated:** July 22, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PS004895L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 108 S MAIN ST, Manheim, PA 17545-1602
- **Phone:** (717) 964-8897
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Journey Therapy, LLC (NPI 1477164895, Elizabethtown, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1985
## Record status
- **NPPES last updated:** August 10, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1841211026) · Data from the CMS NPPES public registry.