SHERITA BLACKBURN


Address: 1505 Summerdale St, Pittsburgh, PA 15204-1130
Phone: 4125868548

SHERITA BLACKBURN (NPI# 1114389731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114389731
Entity Type Individual
Full Name SHERITA BLACKBURN
Practice Address 1505 Summerdale St
Pittsburgh
PA 15204-1130
Practice Telephone 4125868548
Enumeration Date 2016-03-23
Last Update Date 2016-03-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
PA 1026148700002 05

Office Location

Street Address 1505 SUMMERDALE ST
City PITTSBURGH
State PA
Zip Code 15204-1130

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1073061362 Empress Home Care Services In Home Supportive Care 3271 Faronia St, Pittsburgh, PA 15204 2016-09-14
1063963643 Tiffany Fichter Social Worker 0 University Drive C, Pittsburgh, PA 15204 2016-10-19
1396839668 Eric William Schroeder Nurse Anesthetist, Certified Registered University Dr. C, Pittsburgh, PA 15204 2006-10-03
1013391473 Alyssa Verlinich Speech-Language Pathologist University Drive C, Building 29, Room 2m226, Pittsburgh, PA 15204-1001 2015-07-16
1588933204 Renee Anna Mcqueen Doula 3544 Oltman St, Pittsburgh, PA 15204-1238 2011-12-27
1922538610 Sierra Transportation LLC Registered Nurse 3327 W Carson St, Pittsburgh, PA 15204-1350 2017-06-14
1922476696 Trinity Health Solutions, LLC. Occupational Therapy Assistant 3305 Kathy Dr, Pittsburgh, PA 15204-1511 2015-09-10
1073893897 Courtney Taylor Kohan Student in an Organized Health Care Education/Training Program 3408 Kedzie St, Pittsburgh, PA 15204-1514 2011-08-24
1265080063 Gwendolyn Nikcole Starr Home Health Aide 3406 Allendale St, Pittsburgh, PA 15204-1606 2019-08-27
1477179331 Bonita Marie Knight Behavior Technician 3133 Ashlyn St Apt 1, Pittsburgh, PA 15204-1705 2020-06-17
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306447115 Forward Plan LLC Community/Behavioral Health 900 Macfarlane Dr, Pittsburgh, PA 15235-4230 2020-11-06
1780235929 Waddington Rehab Center LLC Community/Behavioral Health 2681 Waddington Ave, Pittsburgh, PA 15226-1758 2019-09-27
1457904823 Passavant Memorial Homes Community/Behavioral Health 1229 Regency Dr, Pittsburgh, PA 15237-6228 2019-07-24
1588216956 Wesley Family Services Community/Behavioral Health 104 Beta Dr, Pittsburgh, PA 15238-2932 2019-07-15
1467018713 Resouces for Human Development, Inc. Community/Behavioral Health 810 River Ave Ste 250, Pittsburgh, PA 15212-5919 2019-05-13
1407347776 Tucker Family Supports Community/Behavioral Health 776 Penn Ave, Pittsburgh, PA 15221-2217 2018-05-22
1154810125 Tyler Consulting and Associates LLC Community/Behavioral Health 64 Garden Ter, Pittsburgh, PA 15221-3977 2018-05-05
1215459797 Metis Counseling, Inc. Community/Behavioral Health 1824 Murray Ave Ste 201, Pittsburgh, PA 15217-1655 2017-07-17
1114463304 Med Option Resources and Educational Services Community/Behavioral Health 203 Oakbrook Cir, Pittsburgh, PA 15220-4659 2017-01-11
1881136067 Mark Minder Lcsw Community/Behavioral Health 319 S Lang Ave, 2nd Floor, Pittsburgh, PA 15208-2749 2016-11-05
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Competitor

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City PITTSBURGH
Zip Code 15204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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