JENNIFER KING BLACKLEDGE (NPI# 1326285743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326285743 |
| Entity Type | Individual |
| Full Name | JENNIFER KING BLACKLEDGE |
| Credential | PH.D. |
| Practice Address |
209 Travis St Ste 105 Roanoke TX 76262-8661 |
| Practice Telephone | 8179889121 |
| Mailing Telephone | 8179889121 |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2014-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 33692 | TX | Behavioral Health & Social Service Providers |
| Street Address |
209 TRAVIS ST STE 105 |
| City | ROANOKE |
| State | TX |
| Zip Code | 76262-8661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790235158 | Donna Fleming | Psychologist | 209 Travis St, Roanoke, TX 76262-8603 | 2016-10-10 |
| 1891245254 | Thomas Johnson | Psychologist | 209 Travis St, Roanoke, TX 76262-8603 | 2016-10-10 |
| 1598214868 | Cara Cobos Guziak | Counselor | 209 Travis St, Suite 102, Roanoke, TX 76262-8603 | 2016-09-28 |
| 1356898282 | Psychology Care Associates Pllc | Psychologist | 209 Travis St, Suite 102, Roanoke, TX 76262-8603 | 2016-09-08 |
| 1730566308 | Elena Riedo | Psychologist | 209 Travis St, Roanoke, TX 76262-8661 | 2015-05-02 |
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|---|---|---|---|---|
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| 1497399687 | Roanoke Foot & Ankle Institute, Pllc | Podiatrist | 351 W Byron Nelson Blvd, Suite 100, Roanoke, TX 76262 | 2019-10-31 |
| 1710470810 | Maria Guadalupe Madera | Dentist | 5000 Highway 114, Unit 130, Northlake, TX 76262 | 2018-06-13 |
| 1912414251 | 6 Day Dental Group - Roanoke, Pllc | Clinic/Center | 200 Tx-114, Roanoke, TX 76262 | 2018-01-09 |
| 1144746561 | Lone Star Neurosurgical Assistants | Physician Assistant | 1270 Casa Bella Ct, Westlake, TX 76262 | 2017-08-17 |
| 1710347562 | Randolph R West Dds Pllc | Dentist | 295 W. Byron Nelson Blvd, Ste 304, Roanoke, TX 76262 | 2016-03-07 |
| 1912367228 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 35 Arta Dr, Westlake, TX 76262 | 2016-02-29 |
| 1952760050 | Roanoke Dental Group,pc | Dentist | 1320 N Hwy 377 Suite 100, Roanoke, TX 76262 | 2016-02-17 |
| 1942683115 | Fatima Naurose Siraj | Dentist | 860 East Highway 114 Ideal Dental, Suite 200, Roanoke, TX 76262 | 2015-07-07 |
| Find all providers in zip 76262 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
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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.