DR. MARY-KATHRYN BLACK (NPI# 1093870115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093870115 |
| Entity Type | Individual |
| Full Name | DR. MARY-KATHRYN BLACK |
| Credential | PH.D. |
| Practice Address |
2400 Crestmoor Rd Suite 308 Nashville TN 37215-2032 |
| Practice Telephone | 6153867177 |
| Practice Fax Number | 6153867027 |
| Mailing Telephone | 6153867177 |
| Mailing Fax Number | 6153867027 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
P2072 | TN | Behavioral Health & Social Service Providers |
| Street Address |
2400 CRESTMOOR RD SUITE 308 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37215-2032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669548608 | Jim Schettler | Marriage & Family Therapist | 2400 Crestmoor Rd, Suite 210, Nashville, TN 37215-2046 | 2006-11-28 |
| 1134462443 | Marie Taft Turley | Counselor | 2400 Crestmoor Rd, Nashville, TN 37215-2046 | 2013-04-04 |
| 1417216649 | Dot-wellness,inc. | Clinic/Center | 2400 Crestmoor Rd, Suite 212, Nashville, TN 37215-2046 | 2012-05-08 |
| 1932402229 | Lisa Lynne Richards-wascher | Counselor | 2400 Crestmoor Rd, Suite 200, Nashville, TN 37215-2046 | 2010-12-08 |
| 1396986030 | Dezerae M. Nash-spacek | Counselor | 2400 Crestmoor Rd, Suite 210, Nashville, TN 37215-2032 | 2009-03-10 |
| 1750538591 | Kim F Dale | Counselor | 2400 Crestmoor Rd, Suite 210, Nashville, TN 37215-2032 | 2008-08-23 |
| 1528226347 | Susan A Halter | Pathology | 2400 Crestmoor Rd, Nashville, TN 37215-2046 | 2008-05-29 |
| 1700075801 | Bobbie J. Hand | Psychologist | 2400 Crestmoor Rd, Suite 210, Nashville, TN 37215-2032 | 2007-10-15 |
| 1386832590 | Kathryn Sherrod | Community/Behavioral Health | 2400 Crestmoor Rd, Suite 210, Nashville, TN 37215-2032 | 2007-10-12 |
| 1114115334 | Lisa N. Patterson | Psychologist | 2400 Crestmoor Rd, Suite 210, Nashville, TN 37215-2032 | 2007-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124508049 | Clayton C. Cummings Dds PC | Dentist | 2405 Crestmoor Road, Nashville, TN 37215 | 2018-08-20 |
| 1881172922 | Elisabeth Quintrell Sweeney | Psychologist | 2209 Abbott Martin Rd, Suite 100, Nashville, TN 37215 | 2018-07-31 |
| 1477031755 | Wolf Counseling, LLC | Psychologist | 2000 Glen Echo Rd Ste 207, Nashville, TN 37215 | 2018-07-30 |
| 1972022036 | Anna Jane Richards | Registered Nurse | 2506 Sharondale Dr, Nashville, TN 37215 | 2017-09-11 |
| 1003203696 | Deborah Mccaghren Taber | Nurse Practitioner | 3910 Woodmont Boulevard, Nashville, TN 37215 | 2015-04-21 |
| 1245639731 | Kelsie Renee Menard | Speech-Language Pathologist | 4206 Stammer Place, Nashville, TN 37215 | 2014-08-20 |
| 1851709117 | Marci Diane Levy | Physician Assistant | 2000 Richard Jones Rd Ste 220, Nashville, TN 37215 | 2014-07-30 |
| 1811301534 | Cari Riker | Dietitian, Registered | 4205 Hillsboro Pike Ste 314, Nashville, TN 37215 | 2014-06-20 |
| 1295152916 | Mindy Maurine Thorp | Registered Nurse | 2000 Glen Echo Road, Suite 111, Nashville, TN 37215 | 2014-03-19 |
| 1245663152 | Joshua Gropper | Dentist | 3824 Bedford Ave, Nashville, TN 37215 | 2013-08-14 |
| Find all providers in zip 37215 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597727 | Dorsey Matthew Howard | Psychologist | 315 33rd Ave N, Nashville, TN 37209-3941 | 2020-10-29 |
| 1003422874 | Daniel Diperna | Psychologist | 4205 Hillsboro Pike Ste 301, Nashville, TN 37215-3339 | 2020-09-17 |
| 1164067518 | Jared Scott Yaw | Psychologist | 907 Maynor St, Nashville, TN 37216-3021 | 2019-11-08 |
| 1972144285 | Lauren Dattilo | Psychologist | 1211 21st Ave S Bldg Suite010, Nashville, TN 37212-2717 | 2019-10-08 |
| 1528548229 | Timothy Andrew Breuer | Psychologist | 1704 Neal Ter, Nashville, TN 37203-5533 | 2018-08-21 |
| 1750767778 | Peggy Elam | Psychologist | 6416 Bresslyn Rd, Nashville, TN 37205-3047 | 2015-07-31 |
| 1255742748 | Tamara Raphaeli | Psychologist | 2300 Franklin Pike # 519, Nashville, TN 37204-2225 | 2014-05-19 |
| 1003226986 | Charles Russell Williams | Psychologist | 201 23rd Ave N, Nashville, TN 37203-1501 | 2014-05-01 |
| 1437492592 | B Kathryn Galbraith | Psychologist | 4400 Belmont Park Ter Apt 126, Nashville, TN 37215-6261 | 2013-03-27 |
| 1801158415 | Nashville Psychotherapy Solutions, Pllc | Psychologist | 510 E Iris Dr Unit B, Nashville, TN 37204-3110 | 2012-06-10 |
| Find all providers in NASHVILLE | ||||
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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.