Marie Blacker Blacker
PMHNP-C | Nurse Practitioner - Psych/Mental Health | 5+ years Exp
1125 W Center St, Orem
Utah, 84057-5207
801-903-5903
Marie Blacker Blacker is a Orem, Utah based nurse practitioner with 5 years of experience as Psych/Mental Health NP. She completed her graduation in 2021. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Marie Blacker Blacker is 267381-4405 for Psych/Mental Health NP in Utah. Her current practice location is 1125 W Center St, Orem. Patients can reach her at 801-903-5903. Marie Blacker Blacker is PMHNP-C with specialization in Psych/Mental Health NP and her NPI number (Unique professional ID assigned by NPPES) is 1326521543.
Marie Blacker Blacker provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Marie Blacker Blacker speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Marie Blacker Blacker |
| Specialization: | Nurse Practitioner - Psych/Mental Health (PMHNP) |
| Gender: | Female |
| Credentials: | PMHNP-C |
| Experience: | 5+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2021 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1125 W Center St, Orem,
Utah, 84057-5207 |
| Phone: | 801-903-5903 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5496081903 |
| Enrollment ID: | I20190722002091 |
| NPI Number: | 1326521543 |
| NPI Enumeration Date: | 13 Sep, 2018 |
| NPI Last Update On: | 13 Mar, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marie Blacker Blacker are as mentioned below.
| License Number | Specialization | State | Status | |
| 267381-4405 | Psych/Mental Health NP | Utah | Primary | |
| 267381-4405 | Family NP | Utah | Secondary | |
| 28201 | Psych/Mental Health NP | South Carolina | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (460001) | Provo, UT | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Marie Blacker Blacker is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Intermountain Healthcare Services, Inc (1850209420) | 2442 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Marie Blacker Blacker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1477985513 | Medicaid | Utah | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Marie Blacker Blacker
1125 W Center St,
Orem, Utah |
| Zip: | 84057-5207 |
| Phone Number: | 801-903-5903 |
Patients can reach Marie Blacker Blacker at
1125 W Center St, Orem, Utah or can
call to book an appointment on 801-903-5903.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.