DR. KATHRYN V BLACKWELL (NPI# 1144489683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144489683 |
| Entity Type | Individual |
| Full Name | DR. KATHRYN V BLACKWELL |
| Credential | D.O. |
| Practice Address |
215 S Burlington Rd Bridgeton NJ 08302-3479 |
| Mailing Address |
46 Mohawk Trl Medford Lakes NJ 08055-1527 |
| Practice Telephone | 8564598231 |
| Practice Fax Number | 8564598211 |
| Mailing Telephone | 6092340103 |
| Mailing Fax Number | 8564598211 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25MB06373800 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
215 S BURLINGTON RD |
| City | BRIDGETON |
| State | NJ |
| Zip Code | 08302-3479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487649364 | Anthony C Tamburello | Psychiatry & Neurology | 215 S Burlington Rd, Bridgeton, NJ 08302-3479 | 2005-09-15 |
| 1215180161 | Lisa Renee Mills | Nurse Practitioner | 215 S Burlington Rd, Bridgeton, NJ 08302-3479 | 2008-10-23 |
| 1750533733 | Niranjana J Shah | Family Medicine | 215 S Burlington Rd, Bridgeton, NJ 08302-3479 | 2008-10-21 |
| 1063673432 | Terry Xiaozhou Shang | Psychiatry & Neurology | 215 S Burlington Rd, Bridgeton, NJ 08302-3479 | 2008-06-18 |
| 1376757435 | Rajiv Krishnakant Vyas | Psychiatry & Neurology | 215 S Burlington Rd, Bridgeton, NJ 08302-3479 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508390196 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Northwest Drive, Bridgeton, NJ 08302 | 2017-04-20 |
| 1124552716 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 198 Roadstown Road, Bridgeton, NJ 08302 | 2017-04-20 |
| 1861926453 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 555 Burlington Road, Bridgeton, NJ 08302 | 2017-04-20 |
| 1306370994 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 92 Princeton Avenue, Bridgeton, NJ 08302 | 2017-04-20 |
| 1205360245 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 50 Roberts Avenue, Bridgeton, NJ 08302 | 2017-04-17 |
| 1649704602 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 West Park Drive, Bridgeton, NJ 08302 | 2017-04-17 |
| 1871043299 | Leah Sadler | Counselor | 90 S Burlington Rd, 189, Bridgeton, NJ 08302 | 2016-10-10 |
| 1245695428 | Bkt High Quality Healthcare Agency LLC | Home Health | 6 South Laurel St., 2nd Floor, Bridgeton, NJ 08302 | 2015-12-15 |
| 1073986493 | Caringhouse Projects, Inc | Respite Care | 1040 Laurel Lane, Deerfield Township, NJ 08302 | 2015-11-06 |
| 1174903256 | Christopher Struby | Internal Medicine | 201 Laurel Heights Dr # 201, Bridgeton, NJ 08302 | 2015-06-04 |
| Find all providers in zip 08302 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164577227 | Kyle Marie Stiffler | Psychiatry & Neurology | 14 West Ave S, Bridgeton, NJ 08302 | 2007-01-25 |
| 1821161290 | David Michael Friel | Psychiatry & Neurology | 704 A Shiloh Pike, Bridgeton, NJ 08302 | 2006-11-15 |
| 1659335776 | Dinu P Gangure | Psychiatry & Neurology | Bjc Behavioral Health, 3165 Mckelvey Rd, Ste. 200, Bridgeton, MO 63044-2550 | 2006-04-14 |
| 1578562310 | M.javed Qasim | Psychiatry & Neurology | 12255 De Paul Dr Ste 490, Bridgeton, MO 63044 | 2005-07-14 |
| 1487994877 | St. Louis Behavioral Health Services, LLC | Psychiatry & Neurology | 12255 Depaul Dr, Suite 490, Bridgeton, MO 63044 | 2013-02-21 |
| 1063673432 | Terry Xiaozhou Shang | Psychiatry & Neurology | 215 S Burlington Rd, Bridgeton, NJ 08302-3479 | 2008-06-18 |
| 1376757435 | Rajiv Krishnakant Vyas | Psychiatry & Neurology | 215 S Burlington Rd, Bridgeton, NJ 08302-3479 | 2007-05-09 |
| 1922155472 | Narayana Rao Kosuri | Psychiatry & Neurology | 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044-2550 | 2007-01-05 |
| 1497859060 | Shaheen Ray Zia | Psychiatry & Neurology | 3466 Bridgeland, Ste 150, Bridgeton, MO 63044 | 2006-09-12 |
| 1063522464 | Lawrence F. Kuhn | Psychiatry & Neurology | 12277 De Paul Dr, Suite 303 South, Bridgeton, MO 63044-2516 | 2006-08-30 |
| Find all providers in BRIDGETON | ||||
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| 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.