DR. MICHAEL DAVID BLACK (NPI# 1093852063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093852063 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DAVID BLACK |
| Credential | PH.D. |
| Practice Address |
2200 Sw Gage Blvd Topeka KS 66622-0001 |
| Practice Telephone | 7855501903 |
| Mailing Telephone | 7853503111 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699061390 | Michael Richard Black | Psychologist | 2913 N Commonwealth Ave Rm 301, Saint Joseph Hospital Campus, Manor Building, Chicago, IL 60657-6211 | 2011-06-22 |
| 1659392256 | Michael Darryl Black | Surgery | 927 45th St Ste 301, West Palm Beach, FL 33407-2450 | 2006-07-21 |
| 1437703873 | Michael Anthony Black | Counselor | 230 Main Street Ext, Middletown, CT 06457-4470 | 2019-07-24 |
| 1104488816 | Michael David Black | Occupational Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2019-07-02 |
| 1376016873 | Michael Vincent Black | Specialist/Technologist | 535 E 70th St, New York, NY 10021-4823 | 2019-01-07 |
| 1750858072 | Michael R Black | Registered Nurse | 901 Rainier Ave S, Seattle, WA 98144-2839 | 2018-10-24 |
| 1134652217 | Michael Black | Student in an Organized Health Care Education/Training Program | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2017-04-06 |
| 1780124560 | Michael W Black | Case Manager/Care Coordinator | 65 Messimer Dr, Newark, OH 43055-1874 | 2017-02-28 |
| 1851732499 | Michael Anthony Black | Marriage & Family Therapist | 1313 E Maple St, Bellingham, WA 98225-5708 | 2013-07-11 |
| 1952655888 | Michael Emery Black | Physical Therapist | 2525 S 135th Ave, Omaha, NE 68144-2424 | 2012-10-30 |
| Street Address |
2200 SW GAGE BLVD |
| City | TOPEKA |
| State | KS |
| Zip Code | 66622-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994395 | Jeffrey M Warner | Chiropractor | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2005-06-30 |
| 1063034486 | Margaret Ellen Anderson | Occupational Therapist | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2020-05-07 |
| 1053949255 | Dawn A Garcia | Registered Nurse | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2020-04-01 |
| 1972131621 | Shannon Marie Johnson Wilder | Psychologist | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2020-03-30 |
| 1902432412 | Leasha Raelynn Brooks | Family Medicine | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2020-03-16 |
| 1275169898 | Andrea Leigh Orrison | Nurse Practitioner | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2020-03-15 |
| 1922633718 | Cecilia Adaora Nwakpuda | Nurse Practitioner | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2020-03-11 |
| 1144869025 | Jayme M Mavrovich | Social Worker | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2019-12-25 |
| 1699313882 | Shawna R Deters | Registered Nurse | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2019-12-18 |
| 1407400526 | Debra M. Crater | Social Worker | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2019-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255823001 | Tara Jarrett | Psychologist | 2200 Sw Gage Blvd., Topeka, KS 66622 | 2018-06-06 |
| 1750321519 | Jamye Buelke Brown | Psychologist | Colmery-o'neil Va Medical Center, 2200 Gage Boulevard, Topeka, KS 66622 | 2006-06-08 |
| 1003864026 | Richard Guy Brausa | Social Worker | Ekhcs 2200 Gage, Topeka, KS 66622 | 2006-05-04 |
| 1174580625 | Sandra Lynn Hampton | Physician Assistant | 2200 Gage Va, Topeka, KS 66622 | 2006-04-27 |
| 1790741882 | Jose Maria Bejar | Psychiatry & Neurology | 2200 Gage Blvd., Topeka, KS 66622 | 2006-04-26 |
| 1750877635 | Kiran Randhawa | Psychiatry & Neurology | 2200 Sw Gage Blvd., Topeka, KS 66622 | 2018-07-03 |
| 1427089879 | Laura Leanne Rupnick | Pharmacist | Colmery-o'neil Va Medical Center, 2200 Gage Blvd, Topeka, KS 66622 | 2006-07-05 |
| 1457382673 | Patricia J Mcnelis | Nurse Practitioner | 2200 Gage Blvd, Colmeny Oneil Va Medical Center, Topeka, KS 66622 | 2006-07-05 |
| 1962416909 | Jay Pehrson Kennedy | Family Medicine | 2200 Sw Gage Boulevard, U.S. Department of Veterans Affairs, Topeka, KS 66622-0000 | 2006-07-27 |
| 1821588526 | Cody Poell | Pharmacist | 2200 Seems Gage Blvd, Topeka, KS 66622-0001 | 2018-05-17 |
| Find all providers in zip 66622 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669782462 | Kristen Fischer Malloy | Psychologist | 3601 Sw 29th St Ste 116, Topeka, KS 66614-2015 | 2010-10-14 |
| 1750695177 | Cara L. Terpening | Psychologist | 2627 Sw Western Ave, Topeka, KS 66611-1268 | 2010-07-27 |
| 1669619086 | Rebecca C Rinehart | Psychologist | 1722 Sw Moundview Dr, Topeka, KS 66604-3434 | 2009-01-08 |
| 1184763955 | Leslie Marie Mccullough | Psychologist | 1212 Sw Mulvane St, Topeka, KS 66604-1442 | 2007-02-06 |
| 1508955865 | Ira Langfield Stamm | Psychologist | 3600 Sw Burlingame Rd Ste 1a, Topeka, KS 66611-2053 | 2006-10-12 |
| 1629047998 | Maariah B Ingelhardts | Psychologist | 1001 Garfield, Topeka, KS 66604 | 2006-03-17 |
| 1619940673 | Margaret Mccarthy | Psychologist | 3649 Sw Burlingame Rd, Topeka, KS 66611-2051 | 2006-02-09 |
| 1760455976 | David C. Rodeheffer | Psychologist | 907 Sw 10th Ave, Topeka, KS 66604-1101 | 2006-02-08 |
| 1346213543 | Francis J. Gerner | Psychologist | 909 Sw 10th Ave, Topeka, KS 66604-1101 | 2006-02-08 |
| 1003818899 | Richard M Shapiro | Psychologist | 225 Sw Greenwood Ave, Topeka, KS 66606-1227 | 2005-08-11 |
| Find all providers in TOPEKA | ||||
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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.