CHRISTOPHER BLACK


Address: 4131 University Blvd S, Jacksonville, FL 32216-4326
Phone: 9047450067

CHRISTOPHER BLACK (NPI# 1619520467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619520467
Entity Type Individual
Full Name CHRISTOPHER BLACK
Practice Address 4131 University Blvd S
Jacksonville
FL 32216-4326
Mailing Address 2504 Van Gundy Rd
Jacksonville
FL 32208-2583
Practice Telephone 9047450067
Mailing Telephone 9044467427
Enumeration Date 2019-07-22
Last Update Date 2019-07-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers CHRISTOPHER BLACK

NPI Name Taxonomy Address Enumeration
1578036711 Christopher Michael Black Student in an Organized Health Care Education/Training Program 2333 Se 45th Ave, Portland, OR 97215-3729 2019-01-10
1821506163 Christopher G Black Psychologist 703 3rd St Rm 1120, West Lafayette, IN 47907-2081 2018-01-22
1396727749 Christopher Philip Black Emergency Medicine 18983 Us Route 11, Watertown, NY 13601-5320 2005-11-18
1407496029 Christopher Vaughn Black Physical Therapist 313 Neff Ave Ste C, Harrisonburg, VA 22801-3495 2020-01-11
1710546346 Christopher Michael Black Behavior Technician 1070 W Houghton Lake Dr, Prudenville, MI 48651-9673 2019-06-07
1457736605 Christopher Black Pharmacist 105 Foothills Center Dr, West Union, SC 29696-2518 2015-07-29
1205195138 Christopher Michael Black Student in an Organized Health Care Education/Training Program 1102 W 32nd St, Joplin, MO 64804-3503 2012-05-12
1427219286 Christopher Black Anesthesiology 450 N New Ballas Rd, Saint Louis, MO 63141-6835 2008-06-24
1235342957 Christopher D Black Family Medicine 2490 Oka St, Kilauea, HI 96754-5332 2007-05-08
1770524076 Christopher S Black Chiropractor 140 Point Judith Rd, #30, Narragansett, RI 02882-3451 2006-06-09

Office Location

Street Address 4131 UNIVERSITY BLVD S
City JACKSONVILLE
State FL
Zip Code 32216-4326

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790770873 North Florida Medical Associates, Inc. Family Medicine 4131 University Blvd S, #8, Jacksonville, FL 32216-4326 2005-09-15
1316556517 Elizabeth Anne Davis Case Manager/Care Coordinator 4131 University Blvd S, Jacksonville, FL 32216-4326 2020-07-24
1376168609 Candice Cobb Counselor 4131 University Blvd S, Jacksonville, FL 32216-4326 2020-06-12
1114549839 Walter Mcclinton Counselor 4131 University Blvd S, Jacksonville, FL 32216-4326 2020-05-15
1679105704 David Paul Young Counselor 4131 University Blvd S, Jacksonville, FL 32216-4326 2020-02-06
1679112692 Arlisa Renee Williams Counselor 4131 University Blvd S, Jacksonville, FL 32216-4326 2019-12-23
1174168041 Sydne M Hennings Counselor 4131 University Blvd S, Jacksonville, FL 32216-4326 2019-11-14
1477198679 Jaime Bonanno Rosado Counselor 4131 University Blvd S, Jacksonville, FL 32216-4326 2019-11-12
1003450875 Angela Nicole Brown Counselor 4131 University Blvd S, Jacksonville, FL 32216-4326 2019-11-04
1073166849 Nakiesha Lynn Thompson Counselor 4131 University Blvd S, Jacksonville, FL 32216-4326 2019-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524925 Renee Cherie Titus Behavior Technician Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 2020-09-24
1811546575 First Coast Orthopedic Center, LLC Clinic/Center 4035 Southpoint Boulevard, Jacksonville, FL 32216 2019-09-05
1922578558 Fatima Hussain Crofton Optometrist 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 2018-11-27
1154802833 John-paul Pham Internal Medicine 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 2018-08-22
1790279479 Joseph Richard Kennedy Physician Assistant 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 2018-06-18
1801304357 Kelli M. Tyson Nurse Practitioner 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 2018-01-18
1376054809 Angela M Whittinghill Counselor 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 2017-10-24
1629508072 Zoryana Yufan Dentist 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 2017-06-19
1700318896 Christina Kaczmarek Behavior Technician 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 2017-03-29
1932640422 Loudine Racius Nurse Practitioner 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 2017-03-16
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134720519 Ashley Harms Counselor 4070 Herschel St Ste 1, Jacksonville, FL 32210-2239 2020-11-03
1902418684 Molly Ann Burkhardt Counselor 5776 Saint Augustine Rd # 8030, Jacksonville, FL 32207-8046 2020-08-23
1194335638 Aiteria Green Counselor 9713 Bridgeway Ave, Jacksonville, FL 32222-2913 2020-08-07
1053920116 Barbara Burden Counselor 209 N Carole Dr, Jacksonville, NC 28546-4845 2020-07-24
1790393973 Kelley Holladay Counselor 1782 Plantation Oaks Dr, Jacksonville, FL 32223-5010 2020-07-14
1629696646 Mary Ann Caldwell Counselor 2496 Northwoods Dr., Jacksonville, NC 28540 2020-07-07
1447877709 Quendria Johnson-kerns Counselor 200 Zonnie Ln, Jacksonville, NC 28540-9729 2020-07-02
1467077164 Shanna Horan Counselor 13500 Sutton Park Dr S Ste 702, Jacksonville, FL 32224-5290 2020-06-09
1720602527 Shannon E Raikes Counselor 13990 Bartram Park Blvd Unit 209, Jacksonville, FL 32258-5543 2020-06-08
1750905253 Kathlena N Reed Counselor 4131 University Blvd S Fl 32216, Jacksonville, FL 32216-4326 2020-06-01
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32216

Improve Information

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Dataset Information

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.

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