DR. DAVID L. BLACK PSY.D. LCSW NPI 1386640159

NPI Information

NPI: 1386640159
Provider Name: DR. DAVID L. BLACK, PSY.D., LCSW
Classification: Psychologist - 103TH0100X
Entity Type: Individual

Specialization: Health Service

Address:
1531 E BRADFORD PKWY
STE 210-4
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 890-4083
Get Directions

DR. David L. Black, PSY.D., LCSW is a health service psychologist in Springfield, MO. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). DR. David L. Black, PSY.D., LCSW NPI is 1386640159. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1531 E BRADFORD PKWY
STE 210-4
SPRINGFIELD, MO
ZIP 65804-566
Phone: (417) 890-4083
Fax: (417) 890-4091

The enumeration date for this NPI number is 6/24/2005 and was last updated on 4/21/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		2001004284	MISSOURI	No
2	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	2009026793	MISSOURI	No
3	103TB0200X	Psychologist	Cognitive & Behavioral	2009026793	MISSOURI	No
4	103TP2701X	Psychologist	Group Psychotherapy	2009026793	MISSOURI	No
5	103TC1900X	Psychologist	Counseling	2009026793	MISSOURI	No
6	103TC0700X	Psychologist	Clinical	2009026793	MISSOURI	No
7	103TC2200X	Psychologist	Clinical Child & Adolescent	2009026793	MISSOURI	No
8	1041C0700X	Social Worker	Clinical	2001004284	MISSOURI	No
9	103TH0100X	Psychologist	Health Service	2009026793	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	494960107	MEDICAID	MISSOURI
2	000078765	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »