ROBERT WILLIAM BLACK (NPI# 1003373713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003373713 |
Entity Type | Individual |
Full Name | ROBERT WILLIAM BLACK |
Credential | APPC 8336 |
Practice Address |
995 Gateway Center Way Ste 300 San Diego CA 92102-4550 |
Practice Telephone | 6193982156 |
Mailing Telephone | 6193982156 |
Enumeration Date | 2019-02-28 |
Last Update Date | 2020-09-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
Y | 101YM0800X |
Counselor Specialization: Mental Health |
APCC8336 | CA | Behavioral Health & Social Service Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
2865 Logan Ave, San Diego, CA 921132411 | 6192324357 | |
995 Gateway Center Way Ste 300, San Diego, CA 921024550 | 6193982156 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336624535 | Robert G Black Sr. | Physical Therapist | 3550 Harrison Blvd Ste D, Ogden, UT 84403-2081 | 2018-10-03 |
1629583471 | Robert D Black | Counselor | 2569 Lakefield Trl, Marietta, GA 30064-5764 | 2017-12-01 |
1285039735 | Robert Black | Hearing Instrument Specialist | 1012 Gay St, Portsmouth, OH 45662-3456 | 2014-10-27 |
1538434097 | Robert Clint Black | Registered Nurse | 1169 Broderick Rd, Omro, WI 54963-1091 | 2012-03-16 |
1013186246 | Robert Black | Chiropractor | 1270 5th Ave Apt 5t, New York, NY 10029-3421 | 2008-02-21 |
1457499428 | Robert Grant Black | Specialist | 285 Vista Drive, Suite A, Pocatello, ID 83201 | 2007-02-02 |
1134107576 | Robert Michael Black | Family Medicine | 40 Okatie Center Blvd S, Suite 205, Okatie, SC 29909-7507 | 2006-01-05 |
1902808827 | Robert D Black | Internal Medicine | 3600 Gaston Avenue, Suite 806, Dallas, TX 75246-1808 | 2005-08-11 |
1861985657 | Robert Lee Black IIi | Physician Assistant | 640 Alden St, Meadville, PA 16335-2348 | 2018-06-07 |
1497209829 | Robert Marcus Black | Pharmacist | 1500 N Trenton St, Ruston, LA 71270-2328 | 2016-08-15 |
Street Address |
995 GATEWAY CENTER WAY STE 300 |
City | SAN DIEGO |
State | CA |
Zip Code | 92102-4550 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700954559 | Edlinda Malapit | Case Manager/Care Coordinator | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2006-12-01 |
1245843390 | Claude Antonio Cintron | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-08-28 |
1174149736 | Heidi Anthony | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-06-19 |
1548896129 | Brooklyn Haller | Registered Nurse | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-03-16 |
1821620733 | Sierra Shalee Weischedel | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-02-08 |
1255961926 | Wendy R Sattam | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-01-22 |
1306476155 | Joshua David Vazquez | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-01-21 |
1477183457 | Elijah Torres | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-01-18 |
1730719840 | Joseph Paquette | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2020-01-17 |
1912546706 | Veronica Maria Young | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2019-12-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437766698 | Daniela Tablas | Behavioral Analyst | 303 47th St Spc D-22, San Diego, CA 92102 | 2020-09-30 |
1649745712 | Juliet Lao Kurek | Pharmacist | 2121 Imperial Avenue, San Diego, CA 92102 | 2018-10-04 |
1851887020 | Monique Joseph | Counselor | 2410 E. Street, San Diego, CA 92102 | 2018-07-10 |
1184166316 | Elise Blanton-hubbard | Counselor | 1850 Dale St, San Diego, CA 92102 | 2016-11-04 |
1699221416 | Kari Judith Medina | Student in an Organized Health Care Education/Training Program | 1199 34th Street Apt 11, San Diego, CA 92102 | 2016-08-31 |
1942674536 | Caitlin Hillary Dablow | Speech-Language Pathologist | 1201 34th Street, San Diego, CA 92102 | 2015-11-19 |
1134508179 | Jonathan Waters | Military Health Care Provider | 1233 22nd Street, Unit 8, San Diego, CA 92102 | 2015-05-22 |
1871989913 | Abraham Greenberg | Pediatrics | 15 Balfour Street, Jerusalem, ISRAEL 92102 | 2015-04-15 |
1023421021 | Elmira Aghdam | Chiropractor | 5030 Bonita Rd Ste#b, Bonita, CA 92102 | 2014-06-06 |
1487092540 | Sherry Scott | Marriage & Family Therapist | 995 Gateway Center Drive #300, San Diego, CA 92102 | 2013-06-11 |
Find all providers in zip 92102 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
1558974378 | Monica Dixon | Counselor | 4930 Naples St Fl 1, San Diego, CA 92110-3820 | 2020-08-31 |
1952911612 | Shannon Kathleen Nolte | Counselor | 13111 Kellam Ct Apt 9, San Diego, CA 92130-1251 | 2020-08-06 |
1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
1487279493 | Christi Susan Leyva | Counselor | 10417 Crosscreek Ter, San Diego, CA 92131-1344 | 2020-06-15 |
1285256099 | Jehna Barnes | Counselor | 3636 Camino Del Rio N, San Diego, CA 92108-1703 | 2020-05-14 |
1457973455 | Cassandra Detgen | Counselor | 5252 Orange Ave Unit 125, San Diego, CA 92115-6029 | 2020-05-12 |
1972131589 | Douglas Baker Marriage and Family Therapy, Inc. | Counselor | 2911 Adams Ave # 5, San Diego, CA 92116-1509 | 2020-03-30 |
1255966859 | Job Brunat | Counselor | 4169 38th St Apt 10, San Diego, CA 92105-1367 | 2020-03-04 |
Find all providers in SAN DIEGO |
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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.