JOSEPH EDWARD BLACK (NPI# 1124178918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124178918 |
| Entity Type | Individual |
| Full Name | JOSEPH EDWARD BLACK |
| Other Name | J. EDWARD BLACK |
| Credential | PH.D. |
| Practice Address |
731 E Main St Suite 13 Jackson OH 45640-2100 |
| Mailing Address |
1328 Cremeens Rd Patriot OH 45658-9319 |
| Practice Telephone | 7402868789 |
| Practice Fax Number | 7402868789 |
| Mailing Telephone | 7402566442 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2011-11-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
4889 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2047529 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083753370 | Joseph Black | Family Medicine | Perdue 20621 Savannah Rd, Georgetown, DE 19947-1499 | 2007-02-05 |
| 1578524377 | Joseph M Black | Internal Medicine | 2550 Nw Edenbower Blvd, Suite 100, Roseburg, OR 97471-8829 | 2006-03-31 |
| 1083231500 | Joseph Black | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-06-30 |
| 1821552829 | Joseph Andrew Black | Peer Specialist | 401 5th Ave Ste 400, Seattle, WA 98104-2377 | 2019-01-24 |
| 1841609740 | Joseph S Black | Psychologist | 4 Allegheny Ctr Fl 8, Pittsburgh, PA 15212-5255 | 2014-08-05 |
| 1003189663 | Joseph W Black | Social Worker | 5005 N Piedras St, William Beaumont Army Medical Center, El Paso, TX 79920-5001 | 2012-02-13 |
| 1194005074 | Joseph Lynn Black | Pharmacist | 396 E Roosevelt Blvd, Monroe, NC 28112-4043 | 2011-08-23 |
| 1780737106 | Joseph L Black | Internal Medicine | 3303 Sw Bond Ave, Family Medicine South Waterfront Clinic, Portland, OR 97239-4501 | 2007-01-19 |
| 1083798714 | Joseph T Black | Psychiatry & Neurology | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2006-10-25 |
| 1699784769 | Joseph Black | Physician Assistant | 3311 E Murdock St, Wichita, KS 67208-3054 | 2006-08-06 |
| Street Address |
731 E MAIN ST SUITE 13 |
| City | JACKSON |
| State | OH |
| Zip Code | 45640-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467437640 | Cuji Inc | Pharmacy | 731 E Main St, Suite 4, Jackson, OH 45640-2100 | 2005-12-11 |
| 1205182177 | Samantha Rae Stapleton | Social Worker | 731 E Main St, Suite16, Jackson, OH 45640-2100 | 2012-07-30 |
| 1598040628 | Jackson Urgent Care | Clinic/Center | 731 E Main St, Jackson, OH 45640-2100 | 2011-10-20 |
| 1790063204 | Hannah E Kitts | Nurse Practitioner | 731 E Main St, Jackson, OH 45640-2100 | 2011-08-01 |
| 1770721250 | Practice of Optometry Inc. | Optometrist | 731 E Main St, Jackson, OH 45640-2100 | 2009-01-22 |
| 1619015989 | Amy Gail Combs | Social Worker | 731 E Main St, Unit 13, Jackson, OH 45640 | 2007-02-01 |
| 1962598599 | Leslie Risin | Psychologist | 731 E Main St, Unit 13, Jackson, OH 45640-2100 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131047 | Karen Angela Hill | Homemaker | 399 Florence Ave., Jackson, OH 45640 | 2020-10-14 |
| 1639609183 | Katherine Elizabeth Kazee | Pharmacist | 530 E Main St., Jackson, OH 45640 | 2017-06-18 |
| 1477080703 | Mary Jane Adams | Registered Nurse | 10 Lady Avenue, Jackson, OH 45640 | 2017-05-17 |
| 1669721833 | David L Weaver | Counselor | 731 E. Main Street, Suite 16, Jackson, OH 45640 | 2012-09-04 |
| 1710297387 | Cheryl Renee Mccarty | Physical Therapy Assistant | 269 E South Street, Jackson, OH 45640 | 2010-10-18 |
| 1619203536 | Connie Rae Klein-ferguson | Registered Nurse | 388 Webb Pierce Road, Jackson, OH 45640 | 2009-10-28 |
| 1114194347 | Community Action Committee of Pike County | Clinic/Center | 14590 St Rt 93, Family Health Center Jackson, Jackson, OH 45640 | 2008-05-16 |
| 1548489149 | Synergy Dialysis Associates, LLC | Clinic/Center | 500 Mccarty Ln, Jackson, OH 45640 | 2007-04-24 |
| 1770629487 | Lance Family Medicine | Family Medicine | 212 Pearl Street Suite E, Jackson, OH 45640 | 2007-01-29 |
| 1023176104 | Amber Nichole Pratt | Speech-Language Pathologist | 822 Sellars Dr, Jackson, OH 45640 | 2006-12-04 |
| Find all providers in zip 45640 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275028193 | Jacqueline Reese-smith | Psychologist | 1400 J. R. Lynch Street, Department of Psychology, Jackson, MS 39217 | 2018-06-22 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1205037512 | Janise A. Hinson | Psychologist | 4500 I-55 North Suite #208, Highland Village, Jackson, MS 39211 | 2007-05-31 |
| 1124156088 | Jennifer Michael | Psychologist | 1200 N West Ave Ste 400, Jackson, MI 49202-2180 | 2007-03-01 |
| 1700912565 | Priscilla Goldine Fleming | Psychologist | 726 Union St, Jackson, MI 49203-3072 | 2007-02-26 |
| 1700923703 | Robert W Kennon | Psychologist | 106 Tucker St, Jackson, TN 38301-4035 | 2007-01-31 |
| 1144233750 | Stella W. Brown | Psychologist | 2614 Southerland St, Suite One, Jackson, MS 39216-4858 | 2006-08-14 |
| 1689207128 | Ben Hao Wu | Psychologist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-02-12 |
| 1417377185 | Eric Slisher | Psychologist | 1200 N West Ave, Jackson, MI 49202-2179 | 2014-04-22 |
| 1134424450 | Ronald Gene Mumbower | Psychologist | 431 N State St, Jackson, MS 39201-1108 | 2011-01-18 |
| Find all providers in JACKSON | ||||
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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.