DR. JUDITH LYNN BLACK (NPI# 1235170796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235170796 |
Entity Type | Individual |
Full Name | DR. JUDITH LYNN BLACK |
Credential | PSY.D. |
Practice Address |
6330 Newtown Rd Ste 300 Norfolk VA 23502-4805 |
Practice Telephone | 7574663336 |
Practice Fax Number | 7574555750 |
Mailing Telephone | 7574663336 |
Enumeration Date | 2006-06-08 |
Last Update Date | 2017-11-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810002873 | VA | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
3019 | NC | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | CIGNA | 2117520 | 01 |
NC | BLUE CROSS/BLUE SHIELD | 046WJ | 01 |
NC | 6000829 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073508958 | Judith S Black | Internal Medicine | 4727 Friendship Ave Ste 200, Pittsburgh, PA 15224-1778 | 2005-09-15 |
1447732995 | Judith Lee Black | Registered Nurse | 2018 Western Ave, Knoxville, TN 37921-5718 | 2018-08-31 |
1003110198 | Judith Ann Black | Counselor | 225 Fairmont Ave, Fairmont, WV 26554-2710 | 2011-01-04 |
Street Address |
6330 NEWTOWN RD STE 300 |
City | NORFOLK |
State | VA |
Zip Code | 23502-4805 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811514995 | Lovetta Maria Ritchie | Marriage & Family Therapist | 6330 Newtown Rd Ste 300, Norfolk, VA 23502-4805 | 2020-07-06 |
1659919124 | Megan Virginia Fenton | Counselor | 6330 Newtown Rd Ste 300, Norfolk, VA 23502-4805 | 2019-12-16 |
1740834357 | Frederick Joseph Barry V | Counselor | 6330 Newtown Rd Ste 300, Norfolk, VA 23502-4805 | 2019-07-31 |
1679088199 | Sabrina Dahl Fitzpatrick | Social Worker | 6330 Newtown Rd Ste 300, Norfolk, VA 23502-4805 | 2017-12-06 |
1326475468 | Jill M Nardin | Counselor | 6330 Newtown Rd Ste 300, Norfolk, VA 23502-4805 | 2013-10-03 |
1174820583 | Kristin Barton Cuthriell | Social Worker | 6330 Newtown Rd Ste 300, Norfolk, VA 23502-4805 | 2011-02-21 |
1033364583 | Sandra Lee Borden | Social Worker | 6330 Newtown Rd Ste 300, Norfolk, VA 23502-4805 | 2008-11-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
Find all providers in zip 23502 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841814639 | The Children and Adult Counseling Center LLC | Psychologist | 930 Majestic Ave Ste 100, Norfolk, VA 23504-4055 | 2020-06-08 |
1912409467 | Megan Lurae Mcvea | Psychologist | 400 Gresham Dr. Suite 900, Norfolk, VA 23507-1992 | 2018-03-01 |
1033666409 | Adelia Gregoire LLC | Psychologist | 6126 Studeley Ave, Norfolk, VA 23508-1032 | 2016-09-02 |
1053707786 | Takeshia Vernice Williams | Psychologist | 400 Gresham Dr Ste 907, Norfolk, VA 23507-1921 | 2015-04-09 |
1992145338 | Lisa Anne Mazzio | Psychologist | 1600 Colonial Ave, Norfolk, VA 23517-2020 | 2013-06-30 |
1689975054 | Diana Whitney Schofield | Psychologist | 1307 Hampton Blvd, Norfolk, VA 23517-1709 | 2010-11-16 |
1821328550 | Janette Marie Mance-khourey | Psychologist | 321 Duke St Apt 112, Norfolk, VA 23510-1267 | 2009-12-31 |
1578708046 | David Andrew Mitchell | Psychologist | 1306 N 13th St Ste 102, Norfolk, NE 68701-2591 | 2008-12-11 |
1700075447 | Rebecca A Thomas, Psyd & Associates, P.C. | Psychologist | 838 Granby St, Norfolk, VA 23510-2051 | 2007-10-18 |
1225186760 | Janice Marie Keener | Psychologist | 400 Gresham Dr Ste 900, Norfolk, VA 23507 | 2007-01-08 |
Find all providers in NORFOLK |
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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.