DR. ELLEN C BLACKMAN-BUCKWALTER (PSYD) – Clinical Psychologist, NPI 1336299171

DR. ELLEN C BLACKMAN-BUCKWALTER (PSYD) is a healthcare provider. based in Norristown, Pennsylvania. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. PS015324 (PA). The NPI Number for DR. ELLEN C BLACKMAN-BUCKWALTER (PSYD) is 1336299171

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELLEN C BLACKMAN-BUCKWALTER (PSYD)
NPI
1336299171
Phone
(610) 270-0625
Address
1217 DEKALB ST
Enumeration Date
12 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6104896240
Graduation Year
2001 (25 years ago)
PAC ID
5294259313
Group Practice PAC ID
9335127067
Professional Enrollment ID
I20250410002279
Address ID
PA194263673CO555XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,669 CLINICAL PSYCHOLOGIST in PA

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Provider Addresses for DR. ELLEN C BLACKMAN-BUCKWALTER (PSYD)

  • Central Behavioral Health - Family Services, 1217, Dekalb Street, Norristown, Montgomery County, Pennsylvania, 19401, United States

    NORRISTOWN, PA 194013415

    Phone: (610) 270-0625

    Type: Location

  • Central Montgomery MH-MR Center, 1100, Powell Street, Norristown, Montgomery County, Pennsylvania, 19401, United States

    NORRISTOWN, PA 194013820

    Phone: (610) 277-4600

    Fax: (610) 277-4651

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250410002279IClinical PsychologistPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335127067View full group profile
NameSpecialtyState
Mental Health CounselorPA
Mental Health CounselorPA
Clinical Social WorkerPA
Clinical Social WorkerPA
Clinical Social WorkerPA
-PA
Mental Health CounselorPA
Clinical PsychologistPA
P S Y C H I A T R YPA
Clinical Social WorkerNC

Reviews

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Frequently asked questions

Does DR. ELLEN C BLACKMAN-BUCKWALTER (PSYD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. ELLEN C BLACKMAN-BUCKWALTER (PSYD) uses 1336299171.
Does the file indicate DR. ELLEN C BLACKMAN-BUCKWALTER (PSYD) is practicing under active NPI?
Directory data currently reports DR. ELLEN C BLACKMAN-BUCKWALTER (PSYD) as active.
What taxonomy line describes DR. ELLEN C BLACKMAN-BUCKWALTER (PSYD)?
For research purposes, treat DR. ELLEN C BLACKMAN-BUCKWALTER (PSYD) as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. ELLEN C BLACKMAN-BUCKWALTER (PSYD) list a practice location?
Patients near Norristown, Pennsylvania may find DR. ELLEN C BLACKMAN-BUCKWALTER (PSYD) in results; validate coverage separately.
Why does DR. ELLEN C BLACKMAN-BUCKWALTER (PSYD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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