MR. JAMES C. BLACK (NPI# 1790803674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790803674 |
| Entity Type | Individual |
| Full Name | MR. JAMES C. BLACK |
| Credential | MA CLINICAL PSY. |
| Practice Address |
815 W Hamlet Ave Hamlet NC 28345-2507 |
| Practice Telephone | 9105827046 |
| Practice Fax Number | 9105827106 |
| Mailing Telephone | 9105827046 |
| Mailing Fax Number | 9105827106 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2010-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1119 | NC | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 0762 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3403400 | 05 | |
| NC | BLUECROSS BLUESHIELD | 046NJ | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043452741 | James Clinton Black | Orthopaedic Surgery | 480 Floyd Rd Ste A, Spartanburg, SC 29307-1518 | 2009-03-27 |
| 1053558684 | James Black | Physical Therapy Assistant | 213 California Ct, Mission Viejo, CA 92692-4082 | 2009-01-20 |
| 1225234487 | James Lewis Black Jr. | Pharmacist | 2001 Crystal Spring Ave, Carilion Medical Center Phcy, Suite 110, Roanoke, VA 24014 | 2007-06-25 |
| 1114088341 | James Henry Black | Psychologist | 310 N Midvale Blvd, Suite 202, Madison, WI 53705-3265 | 2006-12-12 |
| 1114095346 | James N Black | Internal Medicine | 520 Craig Ln, Villanova, PA 19085-1902 | 2006-12-04 |
| 1033297320 | James Joseph Black | Psychologist | 227 N 18th St, Philadelphia, PA 19103-1212 | 2006-11-02 |
| 1679662795 | James Dennis Black | Dentist | 1044 12th St, Tell City, IN 47586-1606 | 2006-10-12 |
| 1821000191 | James Black | Specialist | 22930 Crenshaw Blvd Ste D, Torrance, CA 90505-3048 | 2006-08-13 |
| 1073547170 | James Edward Black | Dentist | 250 East Wentworth Avenue, West St Paul, MN 55118-3525 | 2006-07-11 |
| 1316905987 | James A Black | Otolaryngology | 2517 Canterbury, Hays, KS 67601 | 2006-05-03 |
| Street Address |
815 W HAMLET AVE |
| City | HAMLET |
| State | NC |
| Zip Code | 28345-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902081870 | Carolyn Lawing Shaw | Physical Therapist | 815 W Hamlet Ave, Whistle Stop Square, Hamlet, NC 28345-2507 | 2008-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245487149 | Crystal Jean Holman | Counselor | 526 Springhill Church Rd, Hamlet, NC 28345 | 2008-08-21 |
| 1376755132 | New Hope Adult Care | Assisted Living Facility | 406 Carr Street, Hamlet, NC 28345 | 2007-05-04 |
| 1972693869 | William Nall Cleveland | Dentist | 317 W Hamlet Avenue, Hamlet, NC 28345 | 2006-10-13 |
| 1730280629 | Paul Grayson Neal | Dentist | 806 West Hamlet Ave, Hamlet, NC 28345 | 2006-09-26 |
| 1689603060 | Spruce Ltc Group, LLC | Skilled Nursing Facility | 769 Old Cheraw Hwy, Hamlet, NC 28345 | 2006-06-30 |
| 1558353110 | Birmingham Drug Co Inc | Durable Medical Equipment & Medical Supplies | 27 W Main Street, Hamlet, NC 28345 | 2005-08-19 |
| 1881904043 | Southern Therapy Services | Speech-Language Pathologist | 34 W Main St, Hamlet, NC 28345 | 2010-10-20 |
| 1104868793 | Alan S Coulson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 108 Endo Lane, Suite 1, Hamlet, NC 28345 | 2006-06-11 |
| 1700329562 | Sherry Leviner | Nurse Practitioner | 707 Hylan Ave, Hamlet, NC 28345-2009 | 2016-11-28 |
| 1972610624 | William Roy Peele | Dentist | 104 Dogwood Ln, Hamlet, NC 28345-2217 | 2006-08-25 |
| Find all providers in zip 28345 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831639 | Elizabeth A Derouin | Psychologist | 422 W 9th St, Newton, NC 28658-3819 | 2020-05-05 |
| 1497397673 | Sheltia Powell | Psychologist | 1400 E Cornwallis Rd, Durham, NC 27713-3457 | 2019-10-09 |
| 1154796480 | Kerri Wright | Psychologist | 7206 Courtney Pines Rd, Wilmington, NC 28411-7076 | 2015-12-11 |
| 1780053223 | Susan Lynn Moschos | Psychologist | 249 Tobacco Farm Way, Chapel Hill, NC 27516-8420 | 2015-09-15 |
| 1720454549 | Jessica Boisjoli Leboeuf | Psychologist | 824 Historian St, Raleigh, NC 27603-3489 | 2015-08-16 |
| 1275958399 | Matthews Psychological and Family Services, Pllc | Psychologist | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2014-02-26 |
| 1740543032 | Bindiya Shajith | Psychologist | 300 Asheville Ave, Suite # 240, Cary, NC 27518-8682 | 2012-06-21 |
| 1144589623 | Lara E. Gerrard, Ma, Lpa Psychoeducational Evaluations | Psychologist | 668 N Spence Ave, Goldsboro, NC 27534-4233 | 2012-05-03 |
| 1295003002 | Linda Peer Fleming | Psychologist | 108-d West Firetower Rd., Teacch South Hall Professional Center, Winterville, NC 28590 | 2011-12-07 |
| 1508165986 | The G.l.u. Club, LLC | Psychologist | 9156 Eventine Ct, Charlotte, NC 28214-9323 | 2011-03-24 |
| Find all providers with the same taxonomy | ||||
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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.