DR. STEPHEN THOMAS BLACK (NPI# 1417189846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417189846 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN THOMAS BLACK |
| Credential | PH.D. |
| Practice Address |
1 University Cir Csu Stanislaus Turlock CA 95382-3200 |
| Mailing Address |
764 Edgemar Ave Pacifica CA 94044-2319 |
| Practice Telephone | 2096673065 |
| Mailing Telephone | 6503591678 |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PSY 46754 | MS | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | PSY 21055 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942320254 | Stephen J Black | Dentist | 288 Belmont Street, Brockton, MA 02301 | 2007-03-30 |
| 1356428957 | Stephen Black | Physical Therapist | 400 N Allen Dr Ste 104, Allen, TX 75013-2575 | 2006-11-01 |
| 1427010289 | Stephen Black | Anesthesiology | 5001 Sprig Valley Rd, Ste 400 East, Dallas, TX 75244 | 2006-04-05 |
| 1801378484 | Stephen Arthur Black | Physical Therapy Assistant | 501 Ogden St, San Antonio, TX 78212-4393 | 2018-08-30 |
| 1962848093 | Stephen Leon Black | Counselor | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2013-05-15 |
| 1962735480 | Stephen Douglas Black | Physical Therapist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2009-09-16 |
| 1558556209 | Stephen R. Black | Dentist | 1231 Candelaria Rd Nw, Albuquerque, NM 87107-2767 | 2007-09-06 |
| 1932392883 | Stephen P Black | Chiropractor | 1802 Lincoln Way, Mckeesport, PA 15131-1718 | 2007-08-23 |
| Street Address |
1 UNIVERSITY CIR CSU STANISLAUS |
| City | TURLOCK |
| State | CA |
| Zip Code | 95382-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760093074 | Denise Palecek | Registered Nurse | 1 University Cir, Building 29, Turlock, CA 95382-3200 | 2020-08-11 |
| 1407330384 | Amy A Diaz | Registered Nurse | 1 University Cir, Turlock, CA 95382-3200 | 2018-09-18 |
| 1306355839 | Jasmine Samra | Registered Nurse | 1 University Cir, Turlock, CA 95382-3200 | 2017-09-27 |
| 1023527553 | Laura Ann Roberts | Registered Nurse | 1 University Cir, Turlock, CA 95382-3200 | 2017-09-27 |
| 1356721880 | Jessica Lambert | Psychologist | 1 University Cir, Bizzini Hall 230, Turlock, CA 95382-3200 | 2015-05-29 |
| 1720353154 | Amie Gail Postma | Nurse Practitioner | 1 University Cir, Turlock, CA 95382-3200 | 2012-03-19 |
| 1578881520 | Lita Marie Worthington | Nurse Practitioner | 1 University Cir, Student Health Center, Turlock, CA 95382-3200 | 2010-05-13 |
| 1437389905 | Valerie Lester Leyva | Social Worker | 1 University Cir, Csu Stan Social Work, Turlock, CA 95382-3200 | 2009-07-19 |
| 1508053463 | Angelica Delgadillo Perez | Physician Assistant | 1 University Cir, Csu Stanislaus, Student Health Center, Turlock, CA 95382-3200 | 2007-09-25 |
| 1215054283 | Maria Teresa Simile-shaw | Nurse Practitioner | 1 University Cir, Turlock, CA 95382-3200 | 2007-03-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710546536 | S.h.desai, D.d.s. Dental Corporation | Dentist | 3960 Geer Rd, Turlock, CA 95382 | 2019-06-06 |
| 1063982403 | Sangho N/a Cho | Occupational Therapy Assistant | 3025 West Christoffersen Pkwy, Turlock, CA 95382 | 2018-11-28 |
| 1669957254 | Leah Griffith | Behavioral Analyst | 4252 Bardini Way, Turlock, CA 95382 | 2018-09-28 |
| 1508344417 | Aspiranet | Community/Behavioral Health | 1145 W Tuolumne Rd, Turlock, CA 95382 | 2018-08-02 |
| 1730618174 | Hannah Roach | Case Manager/Care Coordinator | 4650 N Olive Ave, Turlock, CA 95382 | 2017-06-08 |
| 1801332960 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2701 N. Berkeley Ave., Turlock, CA 95382 | 2017-01-13 |
| 1205209723 | Caremore Health Plan | Nurse Practitioner | 1000 Delbon Avenue, Suite 5, Turlock, CA 95382 | 2015-11-05 |
| 1942615836 | Michael Collins | Emergency Medical Technician, Basic | 1890 Trail Way, Turlock, CA 95382 | 2014-06-30 |
| 1720493042 | Brandi Purpura | Physical Therapy Assistant | 3800 Geer Rd #101, Turlock, CA 95382 | 2014-06-25 |
| 1255751582 | Erin Hannink | Physical Medicine & Rehabilitation | 3800 Geer Rd Suite 101, Turlock, CA 95382 | 2014-04-25 |
| Find all providers in zip 95382 | ||||
| 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 |
|---|---|---|---|---|
| 1083986269 | Camille L. Holmes | Psychologist | 1246 E Canal Dr, Turlock, CA 95380-4156 | 2012-02-02 |
| 1679611099 | Norman A Davis | Psychologist | 202 West Main St, #201, Turlock, CA 95380 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306690 | Eileen Kay Laughman | Psychologist | 24545 Town Center Dr Apt 5406, Valencia, CA 91355-1397 | 2020-11-08 |
| 1194324954 | Rachel Charman | Psychologist | 1001 Dove St Ste 110, Newport Beach, CA 92660-2845 | 2020-10-22 |
| 1700485760 | Melissa Ernestine Munoz | Psychologist | 353 H St # 1517, Chula Vista, CA 91910-5501 | 2020-10-21 |
| 1235737669 | Maha Nasrallah-babenko | Psychologist | 33442 Valley View Ct, Dana Point, CA 92629-1515 | 2020-10-16 |
| 1689272544 | Kaleidoscope Solutions Family Therapy | Psychologist | 25876 The Old Road, #85, Stevenson Ranch, CA 91381 | 2020-10-13 |
| 1992302814 | Sheena Gill | Psychologist | 2501 E Chapman Ave Ste 265, Fullerton, CA 92831-3108 | 2020-10-04 |
| 1255948600 | Kesha Patrice | Psychologist | 939 Ellis St, San Francisco, CA 94109-7714 | 2020-09-29 |
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1376159541 | Jill Caryn Campbell | Psychologist | 342 Ocho Rios Way, Oak Park, CA 91377-5541 | 2020-09-22 |
| 1225644487 | Brock Louis Pistel | Psychologist | 939 Ellis St Fl 67, San Francisco, CA 94109-7714 | 2020-09-22 |
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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.