DR. ERICA M BLACK (NPI# 1356549463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356549463 |
| Entity Type | Individual |
| Full Name | DR. ERICA M BLACK |
| Credential | PSYD |
| Practice Address |
636 Plank Rd Suite 107a Clifton Park NY 12065-2042 |
| Practice Telephone | 5189519489 |
| Mailing Telephone | 5189519489 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2012-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 016246-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225275407 | Erica Lynn Black | Specialist | 2629 Sw Andover St, Seattle, WA 98126-2591 | 2009-01-09 |
| 1871748335 | Erica Leigh Black | Speech-Language Pathologist | 16005 Highland Ave, Jamaica, NY 11432-3435 | 2008-11-25 |
| 1477712628 | Erica Ann Black | Counselor | 750 W Ustick Rd, Suite 120, Meridian, ID 83646-6133 | 2008-06-03 |
| 1235584269 | Erica Black | Physical Therapy Assistant | 520 S Hull St, Montgomery, AL 36104-4610 | 2016-04-27 |
| 1831449149 | Erica L Black | Marriage & Family Therapist | 513 5th St Sw, Willmar, MN 56201-3216 | 2012-09-13 |
| Street Address |
636 PLANK RD SUITE 107A |
| City | CLIFTON PARK |
| State | NY |
| Zip Code | 12065-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191205 | Janay Campbell | Counselor | 636 Plank Rd, Clifton Park, NY 12065-2046 | 2020-10-16 |
| 1093238594 | Vista Mental Health Counseling, Pllc | Counselor | 636 Plank Rd, Clifton Park, NY 12065 | 2017-07-17 |
| 1205086873 | Randy L Cale | Psychologist | 636 Plank Rd, Suite # 200, Clifton Park, NY 12065-2042 | 2008-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1679116115 | Mary Beth Bulger | Registered Nurse | Shenendehowa Central School, 970 Rt 146, Clifton Park, NY 12065 | 2019-10-28 |
| 1346801636 | Terri Anne Willman | Physician Assistant | 1783 Route 9 Suite 102, Clifton Park, NY 12065 | 2019-06-26 |
| 1437633732 | Abhishek Chopra | Pharmacist | 74 Squire Lane, Clifton Park, NY 12065 | 2018-09-21 |
| 1295213817 | Ella Kotsyuba | Pharmacist | 1022 Ny-146, Clifton Park, NY 12065 | 2018-08-06 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1245723907 | Catherine Marie Blaauboer I | Licensed Practical Nurse | 206 Alnut Drive, Clifton Park, NY 12065 | 2018-06-07 |
| 1326530627 | Melissa Morgan | Physician Assistant | 29 Mann Blvd, Halfmoon, NY 12065 | 2018-06-01 |
| 1982101465 | Janelle Stannard | Occupational Therapist | 23 Sitterly Road, Clifton Park, NY 12065 | 2018-04-10 |
| 1962903831 | Clifton Park Asc LLC | Clinic/Center | 16 Maxwell Dr., Clifton Park, NY 12065 | 2018-02-26 |
| Find all providers in zip 12065 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003390998 | Erin Cook | Psychologist | 489 Clifton Park Ctr Rd, Clifton Park, NY 12065-3815 | 2018-09-18 |
| 1467660209 | Gina Maria Cosgrove | Psychologist | 6 Chelsea Pl Ste 202, Clifton Park, NY 12065-3236 | 2007-05-17 |
| 1205996188 | Rita M Oliverio | Psychologist | 96 Appletree Ln, Clifton Park, NY 12065-2104 | 2006-12-11 |
| 1174610141 | Linda Vara | Psychologist | 6 Chelsea Place, Suite 208, Clifton Park, NY 12065 | 2006-10-09 |
| 1184720088 | David J. Kelley | Psychologist | 632 Plank Rd, Suite 209, Clifton Park, NY 12065 | 2006-09-16 |
| 1760465868 | Mary Catherine O'connor | Psychologist | 4 Chelsea Pl Ste 101, Clifton Park, NY 12065-3203 | 2005-11-22 |
| 1205086873 | Randy L Cale | Psychologist | 636 Plank Rd, Suite # 200, Clifton Park, NY 12065-2042 | 2008-09-19 |
| 1811012669 | Lisa Jackson | Psychologist | 990 Route 146, Clifton Park, NY 12065-3617 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487774 | Rebecca Kason | Psychologist | 38 Broome St Apt 2b, Brooklyn, NY 11222-5515 | 2020-11-05 |
| 1952900177 | Sarah Slotkin | Psychologist | 997 Altamont Blvd, Altamont, NY 12009-6313 | 2020-10-19 |
| 1265031488 | John Raymond Keefe | Psychologist | 205 E 95th St Apt 6c, New York, NY 10128-0233 | 2020-10-19 |
| 1447859830 | Casey Dowdell | Psychologist | 2201 Hempstead Tpke # 10, East Meadow, NY 11554-1859 | 2020-10-18 |
| 1578161063 | Amanda Robyn Schwartz | Psychologist | 11 Appleby Dr, Bedford, NY 10506-1340 | 2020-10-15 |
| 1912505967 | Tracy Lynn Clouthier | Psychologist | 203 Lillian Ave Apt 3, Syracuse, NY 13206-2155 | 2020-10-13 |
| 1477150035 | Laura Joy Kaplan | Psychologist | 1619 3rd Ave Apt 29h, New York, NY 10128-3942 | 2020-10-07 |
| 1639786833 | Benjamin Malkin | Psychologist | 663 Golf Dr, Valley Stream, NY 11581-3547 | 2020-09-30 |
| 1043827678 | Paul Lichtenberg | Psychologist | 236 Tow Path Rd, Accord, NY 12404-5516 | 2020-09-28 |
| 1073129169 | Alyssa Van Der Merwe | Psychologist | 500 Mamaroneck Ave Ste 320, Harrison, NY 10528-1600 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | CLIFTON PARK |
| Zip Code | 12065 |
Please comment or provide details below to improve the information on DR. ERICA M BLACK.
| 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.