DR. RICHARD ANTHONY BLACKBURN (NPI# 1134293400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134293400 |
| Entity Type | Individual |
| Full Name | DR. RICHARD ANTHONY BLACKBURN |
| Credential | PH.D. |
| Practice Address |
1400 N Union Ave Fergus Falls MN 56537-1248 |
| Mailing Address |
54666 Us Highway 10 New York Mills MN 56567-9000 |
| Practice Telephone | 2187397394 |
| Practice Fax Number | 2187397268 |
| Mailing Telephone | 2183852203 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP 4743 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558467431 | Richard E Blackburn | Psychiatry & Neurology | 2868 Mahan Dr, Suite 5, Tallahassee, FL 32308-5468 | 2006-09-16 |
| 1891215760 | Richard Blackburn | Dentist | 3532 Howard Ave Ste 200, Los Alamitos, CA 90720-3699 | 2017-06-22 |
| 1619227162 | Richard Blackburn | Rehabilitation Practitioner | 1328 2nd St, Santa Monica, CA 90401-1122 | 2012-09-12 |
| 1356466049 | Richard Blackburn | Counselor | 1010 E 45th St, Shawnee, OK 74804-2202 | 2007-03-20 |
| 1801834767 | Richard Randall Blackburn | Specialist | 805 6th Ave W Ste 100, Hendersonville, NC 28739-4160 | 2006-06-03 |
| 1275519878 | Richard Jay Blackburn | Family Medicine | 705 Washington St, Ravenswood, WV 26164-1729 | 2005-12-16 |
| Street Address |
1400 N UNION AVE |
| City | FERGUS FALLS |
| State | MN |
| Zip Code | 56537-1248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609814821 | Fergus Falls Regional Treatment Center | Psychiatric Hospital | 1400 N Union Ave, Fergus Falls, MN 56537-1248 | 2006-06-02 |
| 1578626198 | Carlene Kay Cloud | Nurse Practitioner | 1400 N Union Ave, Fergus Falls, MN 56537-1248 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
| 1336771591 | Paul George Wawin | Psychiatry & Neurology | 712 Cascade St. S. Lake Region Healthcare, Fergus Falls, MN 56537 | 2020-02-06 |
| 1134604127 | Christopher Michael Kjolhaug | Physical Therapist | 1131 South Mabelle Ave, Fergus Falls, MN 56537 | 2018-09-26 |
| 1619406808 | Aaron John Teigen | Physical Therapist | 1304 Lincoln Ave W, Suite C, Fergus Falls, MN 56537 | 2017-06-09 |
| 1003272154 | Anthony Gettel Dc LLC | Chiropractor | 755 Wildwood Trail, Fergus Falls, MN 56537 | 2016-01-05 |
| 1447628912 | Kelsey Shea | Student in an Organized Health Care Education/Training Program | 20743 Red Oak Dr., Fergus Falls, MN 56537 | 2015-09-14 |
| 1881070217 | Vineet Ganapati | Dentist | 2001 W Lincoln Ave # 33, Fergus Falls, MN 56537 | 2015-08-07 |
| 1497004832 | Beverly Renae Reiff | Registered Nurse | 22279 River Oaks Drive, Fergus Falls, MN 56537 | 2012-08-30 |
| 1114221421 | Jane Mary Bjornson | Social Worker | 21081 County Hwy 1, Fergus Falls, MN 56537 | 2010-12-29 |
| Find all providers in zip 56537 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104477819 | Lysne Consulting & Counseling | Psychologist | 225 W Cavour Ave Ste C, Fergus Falls, MN 56537-2140 | 2019-09-24 |
| 1538410246 | Riley Bruce Neuhardt | Psychologist | 1801 W Alcott Ave, Fergus Falls, MN 56537-2661 | 2012-09-21 |
| 1316158439 | Christianne M Lysne | Psychologist | 225 W Cavour Ave, Fergus Falls, MN 56537-2103 | 2007-05-24 |
| 1366530008 | Mark Carl Lysne | Psychologist | 225 W Cavour Ave, Fergus Falls, MN 56537-2103 | 2006-10-10 |
| 1598797185 | Mary K. Schmidt | Psychologist | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2006-07-06 |
| 1104869049 | Ricardo P. Ascano | Psychologist | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2006-06-14 |
| 1720021751 | Gerald E. Ziesemer | Psychologist | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2006-06-14 |
| 1750321782 | Kathleen R. Schara | Psychologist | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2006-06-07 |
| 1912954728 | Nathanael M Larsen | Psychologist | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899291 | Charlotte Mae Gerth Haanen | Psychologist | 2805 Cliff Rd E, Burnsville, MN 55337-4095 | 2020-10-17 |
| 1386251148 | Andrew Charles Weis | Psychologist | 158 Water St N Ste 1, Northfield, MN 55057-2125 | 2020-09-25 |
| 1861008567 | Natalia V Potapova | Psychologist | 701 Park Ave # S1.110, Minneapolis, MN 55415-1623 | 2020-09-17 |
| 1720691884 | Oluwatosin Alabi | Psychologist | 4124 Quebec Ave N Ste 307, New Hope, MN 55427-1241 | 2020-08-28 |
| 1962014167 | Kate Esterline | Psychologist | 2724 University Ave Se Ste B, Minneapolis, MN 55414-3210 | 2020-08-19 |
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1699392266 | Jacqueline Suresh Layton | Psychologist | 17324 Glencoe Ave, Lakeville, MN 55044-7429 | 2020-06-30 |
| 1760016109 | Cori Miller | Psychologist | 7300 Metro Blvd Ste 400, Edina, MN 55439-2307 | 2020-02-25 |
| 1831722594 | Collaboration for Psychological Wellness, LLC | Psychologist | 12000 Portland Ave Ste 120, Burnsville, MN 55337-4469 | 2020-02-20 |
| 1780214601 | Jennifer Jacqueline Felinski Kurtz | Psychologist | 16688 Kentucky Ave, Lakeville, MN 55044-4616 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
| City | FERGUS FALLS |
| Zip Code | 56537 |
Please comment or provide details below to improve the information on DR. RICHARD ANTHONY BLACKBURN.
| 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.