MELISSA BLACK (NPI# 1972728038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972728038 |
| Entity Type | Individual |
| Full Name | MELISSA BLACK |
| Credential | PH.D. |
| Practice Address |
6330 Lyndon B Johnson Fwy Suite 150 Dallas TX 75240-6467 |
| Practice Telephone | 9729918855 |
| Practice Fax Number | 9729918966 |
| Mailing Telephone | 9729918855 |
| Mailing Fax Number | 9729918966 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
25812 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073631149 | Melissa Olson Black | Specialist/Technologist | 3250 River Road West, Goochland, VA 23063 | 2007-03-27 |
| 1457301921 | Melissa L Black | Optometrist | 1435 E Venice Ave, Suite 110, Venice, FL 34292-3074 | 2006-05-12 |
| 1013538834 | Melissa Margo Black | Registered Nurse | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-05-04 |
| 1144853706 | Melissa Black | Behavior Technician | 7001 W 79th St, Overland Park, KS 66204-3179 | 2020-02-21 |
| 1023652500 | Melissa Lee Black | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2019-10-29 |
| 1225686132 | Melissa M Black | Social Worker | 9150 Sw 87th Ave Ste B100, Miami, FL 33176-2311 | 2019-09-04 |
| 1083195903 | Melissa Black | Developmental Therapist | 9000 S County Road 800 W, Daleville, IN 47334-9420 | 2018-08-28 |
| 1821507757 | Melissa Black | Social Worker | 2212 Hope Mills Rd, Fayetteville, NC 28304-4228 | 2017-09-22 |
| 1982140141 | Melissa Black | Pharmacist | 2046 Ne Waldo Rd, Suite 3100, Gainesville, FL 32609-8975 | 2017-01-12 |
| 1043505993 | Melissa Black | Physical Therapist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2011-06-17 |
| Street Address |
6330 LYNDON B JOHNSON FWY SUITE 150 |
| City | DALLAS |
| State | TX |
| Zip Code | 75240-6467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558306852 | Susan B Rebillet | Psychologist | 6330 Lyndon B Johnson Fwy, Suite 234, Dallas, TX 75240-6467 | 2006-06-19 |
| 1164630554 | Jane Shook | Speech-Language Pathologist | 6330 Lyndon B Johnson Fwy, Suite 136, Dallas, TX 75240-6467 | 2007-05-18 |
| 1346464245 | Myrna Marie Little | Psychologist | 6330 Lyndon B Johnson Fwy, Suite 150, Dallas, TX 75240-6467 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469824 | Amber Christine Wrye | Counselor | 5433 Alpha Rd, Dallas, TX 75240 | 2019-10-25 |
| 1134610934 | Kristen Cairns | Counselor | 13140 Coit Rd # 328, Dallas, TX 75240 | 2018-05-29 |
| 1255821435 | Axiom Health Services, LLC | Specialist/Technologist, Other | 5422 Alpha Rd, Dallas, TX 75240 | 2018-05-14 |
| 1114438991 | Donald R Missel | Nurse Anesthetist, Certified Registered | 6606 Lbj Freeway, Suite 200, Dallas, TX 75240 | 2017-10-19 |
| 1689119307 | Ginger Lee Hagood | Counselor | 5580 Lbj Freeway, Suite 300, Dallas, TX 75240 | 2017-01-04 |
| 1831565712 | Stella I Clark | Nurse's Aide | 7373 Valley View Ln #2065, Dallas, TX 75240 | 2015-08-14 |
| 1790163608 | Shana Lynn Gangi | Social Worker | 13601 Preston Rd Ste W970, Dallas, TX 75240 | 2015-05-12 |
| 1134527096 | Jahvel Thompson | Physician Assistant | 8112 W. Spring Valley Rd., Dallas, TX 75240 | 2014-12-09 |
| 1295137396 | Rineil Francis Perez | Pharmacist | 13131 Monfort Dr, Dallas, TX 75240 | 2014-09-19 |
| 1255731311 | Arturo Ojeda | Counselor | 13140 Coit Rd Ste 326, Dallas, TX 75240 | 2014-08-26 |
| Find all providers in zip 75240 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517267 | Hunter Boone Small | Psychologist | 5940 Forest Park Rd Apt 1100, Dallas, TX 75235-6444 | 2020-10-27 |
| 1144834268 | Jeffrey Baldridge | Psychologist | 8140 Walnut Hill Ln Ste 450, Dallas, TX 75231-4328 | 2020-09-04 |
| 1871104760 | Nicole Elizabeth Hooper | Psychologist | 1 Stonebriar Ct, Dallas, TX 75206-8812 | 2020-08-13 |
| 1992313522 | Aisha Iqbal | Psychologist | 5454 La Sierra Dr Ste 201, Dallas, TX 75231-2344 | 2020-07-20 |
| 1801430483 | Yaffa Podbilewicz-schuller | Psychologist | 6618 Elvedon Dr, Dallas, TX 75248-1324 | 2019-11-06 |
| 1578111993 | Anne Caroline Brasch | Psychologist | 6750 Hillcrest Plaza Dr Ste 206, Dallas, TX 75230-1438 | 2019-08-28 |
| 1215497672 | Tiffany Armstrong | Psychologist | 8350 N Central Expy Ste 1275, Dallas, TX 75206-1614 | 2019-03-21 |
| 1275001208 | Bryan Elliott Jester | Psychologist | 4100 Spring Valley Rd Ste 511, Dallas, TX 75244-3678 | 2018-11-07 |
| 1003398074 | Aaron Hands | Psychologist | 5646 Milton St Ste 740, Dallas, TX 75206 | 2018-09-05 |
| 1174001960 | Robert Butler Hampson | Psychologist | 5910 N. Central Expressway, Suite 1820, Dallas, TX 75206 | 2018-08-02 |
| Find all providers in DALLAS | ||||
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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.