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SPENCER EVAN BLACK MD NPI 1053842914


NPI Information

NPI: 1053842914
Provider Name: SPENCER EVAN BLACK, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
2250 N MILLER CAMPUS DR
LEHI, UT
ZIP 84043
Phone: (859) 313-7711
Get Directions

Spencer Evan Black, MD is a child and adolescent psychiatry psychiatry neurology in Lehi, UT. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Spencer Evan Black, MD NPI is 1053842914. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2250 N MILLER CAMPUS DR
LEHI, UT
ZIP 84043-233
Phone: (859) 313-7711
Fax: (385) 531-1805

The NPI 1053842914 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/22/2017 and was last updated on 2/20/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics12759564-1205UTAHNo
22084P0800XPsychiatry & NeurologyPsychiatry12759564-1205UTAHNo
32084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry12759564-8905UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.