Tyler Lee Blackstock, CADC, LLPC
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2019
- Practice address
- 43151 Dalcoma Dr, Clinton Twp, MI 48038
- Practice phone
- Call (810) 355-4300
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Dermatology & Phototherapy Center of Brighton, PLC
Clinton Twp, Michigan
Find Tyler Blackstock's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Tyler Lee Blackstock is a professional counselor in Clinton Twp, Michigan
Tyler Blackstock practices at Dermatology & Phototherapy Center of Brighton, PLC in Clinton Twp, Michigan.
Tyler Blackstock's NPI, 1801439112, was assigned on October 21, 2019. Tyler Blackstock holds Michigan license 6451022333.
- NPI
- 1801439112NPI Registry (opens in a new tab)
- Medicare PAC ID
- 8426582446
- NPI enumeration date
- October 21, 2019
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (810) 355-4300
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 30
- Medical school graduation
- 2022
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Tyler Lee Blackstock practices at Dermatology & Phototherapy Center of Brighton, PLC in Clinton Twp, Michigan
Tyler Blackstock's primary practice is Dermatology & Phototherapy Center of Brighton, PLC, at 43151 Dalcoma Dr, Clinton Twp, MI 48038 in Macomb County. The practice phone is (810) 355-4300.
- Dermatology & Phototherapy Center of Brighton, PLC43151 Dalcoma Dr, Clinton Twp, MI 48038 · Macomb CountyPhone(810) 355-4300
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Tyler Lee Blackstock is affiliated with 2 sites of care and 1 medical group
Tyler Blackstock's primary practice is Dermatology & Phototherapy Center of Brighton, PLC in Clinton Twp, Michigan. The medical group on file is Michigan Safe Space. Dmand AI also links Tyler Blackstock to 1 more group practice or clinic, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Tyler Lee Blackstock's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Tyler Blackstock practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Dermatology & Phototherapy Center of Brighton, PLC | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across each health system and 6.2K+ hospitals, with verified contacts in the same login.
Tyler Lee Blackstock is one of 1,984 professional counselors in Michigan
Professional is Tyler Blackstock's primary specialty in the NPI Registry, under taxonomy code 101YP2500X. Tyler Blackstock is licensed in Michigan.
Specialties and state licenses
- Professional counselor, MichiganPrimary
Professional counselors near Tyler Blackstock
Counts of professional counselors with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Tyler Lee Blackstock's patients have a median age of 27
Across all payers, Dmand AI patient panel data puts Tyler Blackstock's median patient age at 27, with 64% women.
Tyler Blackstock's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 27
Patient panel by sex, all payers
- Women64%
- Men36%
Source: Dmand AI Patient Panel Data
How Tyler Lee Blackstock takes part in Medicare
Tyler Blackstock accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Tyler Lee Blackstock's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Tyler Lee Blackstock
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Tyler Lee Blackstock's NPI number?
Tyler Lee Blackstock's NPI number is 1801439112. It was assigned on October 21, 2019, and it is active in the NPI Registry.
What does Tyler Lee Blackstock specialize in?
Tyler Lee Blackstock is a professional counselor in Clinton Twp, Michigan. The primary specialty in the NPI Registry is Professional Counselor (taxonomy code 101YP2500X).
Where does Tyler Lee Blackstock practice?
Tyler Blackstock practices at 43151 Dalcoma Dr, Clinton Twp, MI 48038. Tyler Blackstock's primary practice is Dermatology & Phototherapy Center of Brighton, PLC in Clinton Twp, Michigan. Dmand AI also links Tyler Blackstock to 1 group practice or clinic.
What is Tyler Lee Blackstock's office phone number?
The practice phone on file for Tyler Blackstock is (810) 355-4300.
What is Tyler Lee Blackstock's medical license number?
Tyler Blackstock holds Michigan license 6451022333.
What medical group is Tyler Lee Blackstock part of?
Tyler Blackstock is linked to Michigan Safe Space.
Does Tyler Lee Blackstock accept Medicare?
Yes. CMS lists Tyler Blackstock as accepting Medicare assignment.
How long has Tyler Lee Blackstock been practicing?
Tyler Blackstock graduated from medical school in 2022, 4 years ago.
Selling to professional practices?
See professional counselors in Michigan by site of care and group
Find the practices, groups and hospitals they work with, and the right people to contact at each.
- 30 days free
- Self-serve
- No credit card