Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tegan Blackbird, PHD

Individual provider Clinical Psychologist · NPI 1841211026

Tegan Blackbird, PHD is a Clinical Psychologist in Manheim, Pennsylvania. Qualified in 1985, 41 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
41
Licensed in
PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

108 S Main St
Manheim, PA 17545-1602
Phone: (717) 964-8897
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS004895L (PA)
Psychologist Taxonomy 103T00000X · Licence PS004895L (PA)

Record details

NPI number1841211026
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 22, 2006
Last updated in NPPESAugust 10, 2020
Certification dateAugust 10, 2020
Mailing address40 Pheasant Ct, Elizabethtown, PA 17022-9206

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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