DR. AMY BLACKBURN (NPI# 1417143298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417143298 |
| Entity Type | Individual |
| Full Name | DR. AMY BLACKBURN |
| Credential | PSY.D. |
| Practice Address |
15 Old Rollinsford Rd Ste 302 Dover NH 03820-2819 |
| Mailing Address |
789 Central Ave Dover NH 03820-2526 |
| Practice Telephone | 6037429200 |
| Practice Fax Number | 6037424605 |
| Mailing Telephone | 6037429200 |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1470 | NH | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
7407 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154983245 | Amy Blackburn | Registered Nurse | 4041 S Mcclintock Dr Ste 302, Tempe, AZ 85282-5879 | 2019-06-28 |
| 1508168899 | Amy Jill Blackburn | Occupational Therapist | 30 County Dr, Laconia, NH 03246-2900 | 2010-11-19 |
| 1801030531 | Amy Meredith Blackburn | Emergency Medicine | 1740 W Taylor St, Chicago, IL 60612-7232 | 2009-04-24 |
| 1447497516 | Amy Denise Blackburn | Speech-Language Pathologist | 1110 N Westwood Blvd, Poplar Bluff, MO 63901-3336 | 2009-01-12 |
| 1033260658 | Amy C Blackburn | Clinic/Center | 425 Broadway St, Paducah, KY 42001-0713 | 2007-01-12 |
| Street Address |
15 OLD ROLLINSFORD RD STE 302 |
| City | DOVER |
| State | NH |
| Zip Code | 03820-2819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457359853 | Emad Ramses Milad | Psychiatry & Neurology | 15 Old Rollinsford Rd Ste 302, Dover, NH 03820 | 2005-07-08 |
| 1669026100 | Loni Rowe | Social Worker | 15 Old Rollinsford Rd Ste 302, Dover, NH 03820 | 2019-08-01 |
| 1740766286 | Abigail Jane Taylor | Social Worker | 15 Old Rollinsford Rd Ste 302, Dover, NH 03820-2819 | 2018-07-18 |
| 1497269690 | Holly Dennard | Nurse Practitioner | 15 Old Rollinsford Rd Ste 302, Dover, NH 03820-2819 | 2017-11-27 |
| 1316200223 | Lauren Marie Debaene | Counselor | 15 Old Rollinsford Rd Ste 302, Dover, NH 03820 | 2012-06-18 |
| 1114220514 | Leah Marie Rogers | Counselor | 15 Old Rollinsford Rd Ste 302, Dover, NH 03820 | 2010-12-08 |
| 1679800957 | Susan A. Onderwyzer | Counselor | 15 Old Rollinsford Rd Ste 302, Dover, NH 03820-2819 | 2009-11-08 |
| 1356511265 | Abigail J Trnovsky | Social Worker | 15 Old Rollinsford Rd Ste 302, Dover, NH 03820-2819 | 2008-03-06 |
| 1225172844 | Melissa J Iudice | Counselor | 15 Old Rollinsford Rd Ste 302, Dover, NH 03820-2819 | 2007-02-16 |
| 1578659090 | Christine M Morris | Nurse Practitioner | 15 Old Rollinsford Rd Ste 302, Dover, NH 03820-2819 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701242 | Kassie Nicole Zukowski | Speech-Language Pathologist | 40 Chestnut St., Unit 3, Dover, NH 03820 | 2020-08-18 |
| 1013537851 | St.pierre Counseling, Pllc | Community/Behavioral Health | 6 Old Rochester Road, Dover, NH 03820 | 2020-04-22 |
| 1790324002 | Mark Boren | Driver | 29 Cornerstone Dr., Dover, NH 03820 | 2020-01-03 |
| 1568963221 | Sarah Hesketh | Speech-Language Pathologist | 61 Locust Street #333, Dover, NH 03820 | 2018-02-27 |
| 1881106524 | Ashley Leighton | Specialist/Technologist | 197 Dover Point Rd, Dover, NH 03820 | 2017-11-03 |
| 1588048854 | Alliance Mental Health and Youth Consultation Services LLC | Counselor | 1 Washington St Ste 318, Dover, NH 03820 | 2015-07-16 |
| 1275920027 | Meredith Ashley Joyce | Counselor | 50 Chesnut St., Dover, NH 03820 | 2015-04-20 |
| 1891182655 | Jodi Alger | Registered Nurse | 113 Crosby Rd Suite 1, Dover, NH 03820 | 2015-04-20 |
| 1497148159 | Laura Anne Forsblad | Counselor | 750 Central Ave Ste Us, Dover, NH 03820 | 2015-03-05 |
| 1295142867 | Heather M Driscoll | Case Management | 50 Chestnut Street, Suite A, Dover, NH 03820 | 2014-07-16 |
| Find all providers in zip 03820 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695976 | David J. Corriss, Ph.d., Pllc | Psychologist | 180 Locust Street, Dover, NH 03820-4033 | 2018-10-19 |
| 1376845818 | Michael Angelo Vernale IIi | Psychologist | 260 Chad Street, Dover Afb, Dover, DE 19901 | 2010-12-02 |
| 1578695094 | Barbara S. Weinberg | Psychologist | 15 Hales Holw, Dover, MA 02030-2418 | 2007-03-10 |
| 1033224761 | Ryan L Dunn, Ph.d., Inc | Psychologist | 130 W 3rd St, Dover, OH 44622-2934 | 2006-08-21 |
| 1922063643 | Sandra C Rose | Psychologist | 35 Second St, Dover, NH 03820 | 2006-04-18 |
| 1144204439 | Kate Mcgraw | Psychologist | 725 Horsepond Rd, Dover, DE 19901-7232 | 2005-12-01 |
| 1487642385 | Ryan L. Dunn | Psychologist | 125 E 2nd St, Dover, OH 44622-2919 | 2005-10-13 |
| 1962400093 | Jody Steele Williams | Psychologist | 884 Walker Rd, Suite 5c, Dover, DE 19904-2758 | 2005-07-12 |
| 1205372729 | Sonya Yevette Shropshire-friel | Psychologist | 130 Central Ave, Suite #111, Dover, NH 03820-4042 | 2017-01-07 |
| 1659736494 | Rebecca Rouse | Psychologist | 180 Locust St, Dover, NH 03820-4033 | 2015-12-21 |
| Find all providers in DOVER | ||||
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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.