NPI 1770414518 · live from the CMS NPI Registry
Trevor Lynn Blackstock, MD
Psychiatry & Neurology, Psychiatry in Charleston, SC. National Provider Identifier 1770414518, active.
NPI record
| NPI | 1770414518 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 169 Ashley Avenue, Room 202 Main Hospital, Msc 333, Charleston, SC 29425 |
| Practice phone | 843-792-0192 |
| Enumerated | May 28, 2026 |
| Last updated | May 28, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | LL96983 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.