MICHELLE LYNN JOCHIM BLACK (NPI# 1356714893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356714893 |
| Entity Type | Individual |
| Full Name | MICHELLE LYNN JOCHIM BLACK |
| Credential | PH.D. |
| Practice Address |
3800 Park Ave Saint Louis MO 63110-2514 |
| Practice Telephone | 3145775667 |
| Practice Fax Number | 3142682784 |
| Mailing Telephone | 3145775667 |
| Mailing Fax Number | 3142682784 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2015035134 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICAL LICENSE | 2015035134 | 01 |
| IN | MEDICAL LICENSE | 20042867A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598889123 | Michelle Raegene Black | Specialist/Technologist, Other | 1200 Cherokee St, Unit #203, Denver, CO 80204-3664 | 2007-03-19 |
| 1295879351 | Michelle Lee Black | Specialist/Technologist | 431 Pine St Ste G01, Burlington, VT 05401-4726 | 2007-02-20 |
| 1932700499 | Michelle Black | Pharmacist | 2753 W Market St, Fairlawn, OH 44333-4235 | 2020-11-02 |
| 1578030946 | Michelle Renee Black | Specialist | 19 Robinson Rd, Clinton, NY 13323-1418 | 2018-10-24 |
| 1184121949 | Michelle Black | Psychologist | 21000 Education Ct, Broadlands, VA 20148-5526 | 2018-04-09 |
| 1235580762 | Michelle Lynn Black | Social Worker | 1206 Clinton Rd, Jackson, MI 49202-2005 | 2016-06-27 |
| 1710331004 | Michelle Black | Counselor | 8258 Veterans Hwy, Suite 13, Millersville, MD 21108-1457 | 2016-04-22 |
| 1588037055 | Michelle Black | Psychologist | 2018 Western Ave, Knoxville, TN 37921-5718 | 2015-11-05 |
| 1295122059 | Michelle Black | Registered Nurse | 406 N Spring St, Mcminnville, TN 37110-2134 | 2015-04-20 |
| 1114334257 | Michelle Black | Student in an Organized Health Care Education/Training Program | 1375 55th St, Emeryville, CA 94608-2609 | 2014-07-22 |
| Street Address |
3800 PARK AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558992826 | Mary Clare Monahan | Social Worker | 3800 Park Ave, Saint Louis, MO 63110-2514 | 2020-01-27 |
| 1760840367 | Allison Burke | Psychologist | 3800 Park Ave, Saint Louis, MO 63110-2514 | 2016-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| 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 |
|---|---|---|---|---|
| 1750994547 | Ashley Brauer | Psychologist | 231 W Lockwood Ave Ste 202, Saint Louis, MO 63119-2951 | 2020-08-31 |
| 1538770284 | Meigs Psychological Services LLC | Psychologist | 529 Newport Ave, Saint Louis, MO 63119-2517 | 2020-08-14 |
| 1235748773 | Kendra Krietsch | Psychologist | 1 Childrens Pl # 3n-14, Saint Louis, MO 63110-1002 | 2020-07-30 |
| 1427674001 | Laura Ellen Glover-orr | Psychologist | 5719 Delor St, Saint Louis, MO 63109-2831 | 2020-06-19 |
| 1407267537 | Therese Verkerke Cash | Psychologist | 6201 Murdoch Ave, Saint Louis, MO 63109-2747 | 2014-05-12 |
| 1205100054 | Mark F Heiland, Phd, Licensed Psychologist, LLC | Psychologist | 4542 W Pine Blvd, Saint Louis, MO 63108-2186 | 2012-02-25 |
| 1952684995 | Paul H Wang M Div Ph D & Associates P C | Psychologist | 225 S Meramec Ave Ste 213, Saint Louis, MO 63105-3511 | 2011-09-26 |
| 1679854194 | Rae Alexandra Wilkerson Maixner | Psychologist | 1 Childrens Pl Ste 3n-14, Saint Louis, MO 63110-1002 | 2011-08-30 |
| 1679885677 | Christian Psychological & Family Services | Psychologist | 9378 Olive Blvd Ste 106, Saint Louis, MO 63132-3222 | 2010-07-07 |
| 1710217666 | Jennifer Renee Vorachack | Psychologist | 12837 Flushing Meadows Dr, Suite 220, Saint Louis, MO 63131-1824 | 2009-12-28 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.