IndividualActive
Frederick Blackmon
NPI 1558166405 · Behavior Technician · Homewood, IL
Frederick Blackmon is a Behavior Technician provider in Homewood, IL (NPI 1558166405).
Provider details
- NPI number
- 1558166405
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17627 Briar Ave
Homewood, IL 60430-1006
Phone: (708) 465-8060
Street-level locationGet directions
Mailing address
17627 Briar Ave
Homewood, IL 60430-1006
Registry dates
- Enumerated
- 2025-02-14
- Last updated
- 2025-02-14
- Certified
- 2025-02-14
Frequently asked questions
- What is Frederick Blackmon's NPI number?
- Frederick Blackmon's National Provider Identifier (NPI) is 1558166405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Frederick Blackmon's specialty?
- Frederick Blackmon is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Frederick Blackmon located?
- Frederick Blackmon's practice location on file with NPPES is 17627 Briar Ave, Homewood, IL 60430-1006.
- What is Frederick Blackmon's phone number?
- The practice phone number listed in the NPPES registry for Frederick Blackmon is (708) 465-8060.
- Is Frederick Blackmon's NPI active?
- Yes — Frederick Blackmon's NPI (1558166405) is active in the NPPES registry as of the last update on 2025-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.