JESSICA J BLACK


Address: 225 Humphrey Rd Ste 4, Greensburg, PA 15601-4571
Phone: 7248329096

JESSICA J BLACK (NPI# 1851894547) 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) 1851894547
Entity Type Individual
Full Name JESSICA J BLACK
Other Name JESSICA JAN BLACK-LEIGEY
Credential PH.D.
Practice Address 225 Humphrey Rd Ste 4
Greensburg
PA 15601-4571
Practice Telephone 7248329096
Practice Fax Number 7248322249
Mailing Telephone 7248329096
Mailing Fax Number 7248322249
Enumeration Date 2018-03-09
Last Update Date 2018-06-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PS017812 PA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA COMMONWEALTH OF PENNSYLVANIA DEPT. OF STATE PS017812 01

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Office Location

Street Address 225 HUMPHREY RD STE 4
City GREENSBURG
State PA
Zip Code 15601-4571

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356839567 Sean Kyle Borris Marriage & Family Therapist 225 Humphrey Rd Ste 4, Greensburg, PA 15601-4571 2018-04-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1801348826 Flow Spine & Sport LLC Chiropractor 123 Donohoe Drive, Greensburg, PA 15601 2016-10-25
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1881905933 Leslie June Kast Psychologist 137 Mathews St, Greensburg, PA 15601-6940 2010-06-23
1649457177 Douglas R. Ramm Psychological Services Psychologist 225 Humphrey Rd, Suite 4, Greensburg, PA 15601-4571 2008-01-28
1316097595 Lindsey Ann Groves Psychologist 40 Huff Ave, Greensburg, PA 15601-5318 2007-01-11
1376655340 Jennifer Cook Oldenburg Psychologist 225 Humphrey Rd, Suite 4, Greensburg, PA 15601-4571 2006-08-31
1326005778 Lisa Marie Cannon Psychologist 1 Northgate Sq, Greensburg, PA 15601-1341 2006-04-28

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Competitor

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City GREENSBURG
Zip Code 15601

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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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