DR. ERIC RICHARD BLACK (NPI# 1245323005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245323005 |
| Entity Type | Individual |
| Full Name | DR. ERIC RICHARD BLACK |
| Credential | M.D. |
| Practice Address |
901 W Jefferson St Springfield IL 62702-4833 |
| Mailing Address |
Po Box 19642 Springfield IL 62794-9642 |
| Practice Telephone | 2175458000 |
| Practice Fax Number | 2175452275 |
| Mailing Telephone | 2175458000 |
| Mailing Fax Number | 2175452275 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2014-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
N/A | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036133840 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174000285 | Eric Black | Pharmacist | 657 Us Highway 101 N, Crescent City, CA 95531-2306 | 2018-07-20 |
| 1730526013 | Eric J Black | Counselor | 1261 Chaffer Dr, Rochester Hills, MI 48306-3714 | 2013-05-28 |
| 1962874792 | Eric Black | Physician Assistant | 1650 Dixwell Ave, Hamden, CT 06514-3615 | 2015-10-20 |
| 1831528066 | Eric Black | Social Worker | 51 Market St, Bangor, PA 18013-1901 | 2013-11-07 |
| 1982863338 | Eric M Black | Orthopaedic Surgery | 140 Park Ave, Florham Park, NJ 07932-1049 | 2008-06-02 |
| 1598877961 | Eric Lee Black | Pharmacist | 2339 Broadway St, Mount Vernon, IL 62864-2925 | 2006-08-31 |
| 1154364305 | Eric Black | Dentist | 2920 N 4th St, Flagstaff, AZ 86004-1816 | 2006-06-14 |
| Street Address |
901 W JEFFERSON ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-4833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780670109 | Stephanie Ann Van Ulft | Psychiatry & Neurology | 901 W Jefferson St, Springfield, IL 62702-4833 | 2005-09-21 |
| 1114411105 | Keertan Reddy | Psychiatry & Neurology | 901 W Jefferson St, Springfield, IL 62702-4833 | 2018-06-21 |
| 1407349152 | Patricia R Baumann | Psychiatry & Neurology | 901 W Jefferson St, Springfield, IL 62702-4833 | 2018-06-07 |
| 1093207821 | Philip Brian Schoenrock | Psychiatry & Neurology | 901 W Jefferson St, Springfield, IL 62702-4833 | 2018-06-06 |
| 1316467632 | Anand Narayan Subramanian | Psychiatry & Neurology | 901 W Jefferson St, Springfield, IL 62702-4833 | 2017-06-27 |
| 1134649932 | Sarita Sharma | Psychiatry & Neurology | 901 W Jefferson St, Springfield, IL 62702-4833 | 2017-06-22 |
| 1073043220 | Nana Cudjoe | Psychiatry & Neurology | 901 W Jefferson St, Springfield, IL 62702-4833 | 2017-06-19 |
| 1659809721 | Sumi Rebeiro | Psychiatry & Neurology | 901 W Jefferson St, Springfield, IL 62702-4833 | 2017-06-01 |
| 1518316660 | Ridhima Grover | Psychiatry & Neurology | 901 W Jefferson St, Springfield, IL 62702-4833 | 2016-06-09 |
| 1891144143 | Shizhen Jia | Psychiatry & Neurology | 901 W Jefferson St, Springfield, IL 62702-4833 | 2016-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076683 | Forefront-khatkhate Medical Services PC | Psychiatry & Neurology | 600 S 2nd St Ste 404, Springfield, IL 62704-2542 | 2019-08-01 |
| 1699043976 | Terry Arthur Travis | Psychiatry & Neurology | 1200 Ravenswood, Na, Springfield, IL 62711-6079 | 2011-12-01 |
| 1659512184 | Julie A. Warren, Md LLC | Psychiatry & Neurology | 1911 S. National Avenue, Suite 405, Springfield, MO 65804 | 2009-03-12 |
| 1255577821 | William Basham | Psychiatry & Neurology | 5729 Main St # 330, Springfield, OR 97478-5426 | 2009-01-01 |
| 1679718043 | Leslie Jeanne Phelps | Psychiatry & Neurology | 1717 E. Primrose St., Apartment B204, Springfield, MO 65804-5413 | 2008-12-12 |
| 1134302656 | Interlink Behavioral Services, P.C. | Psychiatry & Neurology | 3121 S Terrace Green Ct, Springfield, MO 65804-4555 | 2007-12-06 |
| 1366621351 | Azra A Farooqui | Psychiatry & Neurology | 7745 Jewelweed Ct, Springfield, VA 22152-3148 | 2007-10-26 |
| 1093919714 | Lillian Joy Houston | Psychiatry & Neurology | 315 W Carpenter St Dept Of, Springfield, IL 62702-4901 | 2007-06-14 |
| 1881808145 | Yakhmi Mds | Psychiatry & Neurology | 1505 N Limestone St, Springfield, OH 45503-3317 | 2007-05-09 |
| 1588784706 | Asad Gobar | Psychiatry & Neurology | 5922 Hall St, Springfield, VA 22152-1401 | 2007-03-30 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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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.