DR. DANIELLE ANNA BLACK (NPI# 1053534222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053534222 |
| Entity Type | Individual |
| Full Name | DR. DANIELLE ANNA BLACK |
| Credential | PH.D. |
| Practice Address |
618 Library Pl The Family Institute Evanston IL 60201-2908 |
| Practice Telephone | 8477334300 |
| Practice Fax Number | 8477330390 |
| Mailing Telephone | 8477334300 |
| Mailing Fax Number | 8477330390 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| X | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475185 | Danielle Black | Technician, Pathology | 16701 Melford Blvd, Bowie, MD 20715-4305 | 2020-10-25 |
| 1255991543 | Danielle Mae Black | Behavior Technician | 220 E Main St Ste 1, Mankato, MN 56001-3574 | 2019-06-18 |
| 1437660271 | Danielle Black | Physical Therapist | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2017-10-19 |
| 1932635729 | Danielle N Black | Speech-Language Pathologist | 6501 W 75th St, Overland Park, KS 66204-3017 | 2017-05-11 |
| 1124435193 | Danielle Black | Case Manager/Care Coordinator | 8700 E 29th St N, Wichita, KS 67226-2169 | 2014-07-22 |
| 1902034085 | Danielle Rene Black | Physical Therapist | 733 Volvo Pkwy, Suite 100, Chesapeake, VA 23320-1609 | 2009-06-26 |
| 1720214380 | Danielle Black | Developmental Therapist | 2708 Ne 14th St, Suite 5, Pampano Beach, FL 33062 | 2009-06-09 |
| 1013100593 | Danielle Lea Black | Nurse Practitioner | 4961 Roberts Rd, Hilliard, OH 43026-8129 | 2007-08-20 |
| Street Address |
618 LIBRARY PL THE FAMILY INSTITUTE |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962443424 | Richard Evan Zinbarg | Psychologist | 618 Library Pl, Evanston, IL 60201-2908 | 2006-06-08 |
| 1366081366 | Melissa Marie Prusko | Psychologist | 618 Library Pl, Evanston, IL 60201-2908 | 2019-12-23 |
| 1558919084 | Fallon Marie Calandriello | Counselor | 618 Library Pl, Evanston, IL 60201-2908 | 2019-08-28 |
| 1477100402 | Jennifer Casani | Counselor | 618 Library Pl, Evanston, IL 60201-2908 | 2019-08-23 |
| 1114572948 | Jing Lan | Marriage & Family Therapist | 618 Library Pl, Evanston, IL 60201-2908 | 2019-08-08 |
| 1104470608 | Jocelyn Mcdonnell | Counselor | 618 Library Pl, Evanston, IL 60201-2908 | 2019-08-01 |
| 1497308175 | Taylor Ann Mizuno Moore | Counselor | 618 Library Pl, Evanston, IL 60201-2908 | 2019-07-22 |
| 1184286387 | Katherine Slosburg | Counselor | 618 Library Pl, Evanston, IL 60201-2908 | 2019-07-08 |
| 1649832478 | Heather Chamberland | Psychologist | 618 Library Pl, Evanston, IL 60201-2908 | 2019-07-02 |
| 1689235962 | Kathleen Wade Reardon | Psychologist | 618 Library Pl, Evanston, IL 60201-2908 | 2019-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396973467 | Jonathan M Sutton | Psychologist | 1507 Oak Ave, Apt. 2w, Evanston, IL 60201-4215 | 2009-06-29 |
| 1720453160 | John Koh | Psychologist | 708 Church St, Suite 216, Evanston, IL 60201-3875 | 2015-12-10 |
| 1336415611 | Dr Joseph Wallach Phd LLC | Psychologist | 2530 Crawford Ave, Suite 304, Evanston, IL 60201-4970 | 2012-03-30 |
| 1336453265 | Joseph Eli Wallach | Psychologist | 2530 Crawford Ave, Suite 304, Evanston, IL 60201-4970 | 2010-08-03 |
| 1538382320 | Paula Renee Young | Psychologist | 618 Library Pl, Evanston, IL 60201-2908 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330993 | Colibri Counseling | Psychologist | 4872 N Kenmore Ave Apt 1, Chicago, IL 60640-3726 | 2020-09-09 |
| 1427661685 | Peace of Mind Psychological Services Inc | Psychologist | 738 E Dundee Rd # 267, Palatine, IL 60074-2858 | 2020-08-27 |
| 1558974873 | Kelly Hamoudah | Psychologist | 945 W George St Ste 210, Chicago, IL 60657-5876 | 2020-08-26 |
| 1407479447 | Richard J Landau | Psychologist | 913 W Van Buren St Apt 5c, Chicago, IL 60607-3528 | 2020-05-26 |
| 1699394890 | Peter Platten | Psychologist | 4444 N Campbell Ave Apt 1s, Chicago, IL 60625-3076 | 2020-04-09 |
| 1750917571 | Anxiety Clinic of Evanston, LLC | Psychologist | 4604 W Patterson Ave, Chicago, IL 60641-3609 | 2020-03-13 |
| 1851923759 | Professional Family Solutions | Psychologist | 501 N Riverside Dr Ste 207, Gurnee, IL 60031-5918 | 2020-02-07 |
| 1841830338 | Modern Me Psychology, Inc. | Psychologist | 390 E Devon Ave Ste 201, Roselle, IL 60172-1763 | 2020-01-13 |
| 1326682501 | June Care LLC | Psychologist | 185 S Pleasant Rd, Lake Zurich, IL 60047-2240 | 2019-10-31 |
| 1063067866 | Shore Therapy Center for Wellness, LLC | Psychologist | 3330 Old Glenview Rd Ste 16, Wilmette, IL 60091-2963 | 2019-08-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.