ROBERT WILLIAM BLACK


Address: 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550
Phone: 6193982156

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
2865 Logan Ave, San Diego, CA 921132411 6192324357
995 Gateway Center Way Ste 300, San Diego, CA 921024550 6193982156

Other Providers ROBERT BLACK

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

Office Location

Street Address 995 GATEWAY CENTER WAY STE 300
City SAN DIEGO
State CA
Zip Code 92102-4550

Providers in the same location

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
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Providers in the same zip code

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
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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
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
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Competitor

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City SAN DIEGO
Zip Code 92102

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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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