NPI

Michelle A Blackmore

NPI 1609200856

Read from the NPPES registry on October 26, 2026.

Facts

Status
Active
Credential
PhD
Type
Individual
Enumeration date
2013-08-23
Last updated
2013-10-02

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Specialties

Licenses

License NY
020213

Location

Practice location
111 E 210th St
City
Bronx NY
Postal code
10467-2401
Phone
(718) 920-7971

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Psychologists in Bronx, NY. 208 with this primary taxonomy in the public file.

Other NPIs in Bronx, NY. 38,008 records in the public file.

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