Jennifer Lynn Blacksmith, PH.D
NPI 1114390598ActiveIndividual· Psychologist· Kirksville, MO
Psychologist (PH.D) in Kirksville, Missouri, licensed in MO and IA, with an NPI issued in November 2015. Enrolled in Medicare as practitioner - psychiatry.
Overview
| NPI | 1114390598 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D |
| Sole proprietor | No |
| NPI issued | Nov 5, 2015 |
| Last updated in NPPES | May 10, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 2017010148 | MO |
| Psychologist | 103T00000X | 073513 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychiatry (MO) |
|---|
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