MRS. WENDIE G BLACK (NPI# 1386911386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386911386 |
Entity Type | Individual |
Full Name | MRS. WENDIE G BLACK |
Credential | MA |
Practice Address |
3490 E. Rio Virgin Rd. Littlefield AZ 86432 |
Practice Telephone | 9283475486 |
Practice Fax Number | 9283475967 |
Mailing Telephone | 9283475486 |
Mailing Fax Number | 9283475967 |
Enumeration Date | 2011-11-19 |
Last Update Date | 2011-11-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TS0200X |
Psychologist Specialization: School |
3041974 | AZ | Behavioral Health & Social Service Providers |
Street Address |
3490 E. RIO VIRGIN RD. |
City | LITTLEFIELD |
State | AZ |
Zip Code | 86432 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639681646 | Red Hawk Behavioral Health, LLC | Community Based Residential Treatment Facility, Mental Illness | 3767 South Scenic Blvd, Littlefield, AZ 86432 | 2017-10-31 |
1265707004 | Charlotte Frame | Speech-Language Pathologist | 3436 East Rio Virgin Road, Beaver Dam, AZ 86432 | 2012-03-13 |
1689955395 | Littlefield Unified School District #9 | Local Education Agency (LEA) | 3490 E Rio Virgin Road, Beaver Dan, AZ 86432 | 2011-09-08 |
1750524054 | Brandon K Finlinson | Physician Assistant | 3272 E. Rio Virgin Rd., Littlefield, AZ 86432 | 2009-04-16 |
1093922148 | Cynthia Terese Schultz | Registered Nurse | 3933 E. Rio Virgin Rd, Littlefield, AZ 86432 | 2007-05-17 |
1417172859 | Encompass Health Services | Point of Service | 4103 E Fleet, Suite 100, Littlefield, AZ 86432 | 2007-04-13 |
1154388072 | Lone Birgit Stephens | Physician Assistant | I-15 Exit 9 At The Firestation, Littlefield, AZ 86432-0490 | 2006-04-26 |
1427053867 | Jarrod D Johnson | Family Medicine | I15 Exit 9 @ The Firestation, Littlefield, AZ 86432-0490 | 2005-06-14 |
1881886059 | Emerson Todd Rowley | Dentist | I-15 Exit 9 At The Firestation, Box 490, Littlefield, AZ 86432-0490 | 2007-08-13 |
1700883113 | Beaver Dam Littlefield Fire District | Ambulance | 630 N Hwy 91, Littlefield, AZ 86432-0579 | 2005-06-30 |
Find all providers in zip 86432 |
Taxonomy Code | 103TS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053912691 | Jane Ann Petschow | Psychologist | 445 W Chandler Blvd Apt 464, Chandler, AZ 85225-1965 | 2020-11-02 |
1225635154 | Shannon Napelee | Psychologist | 9405 N 53rd Dr, Glendale, AZ 85302-3305 | 2020-10-04 |
1922616929 | Latisha Kareem Ojuriye | Psychologist | 400 N Coronado St Apt 1012, Chandler, AZ 85224-4184 | 2020-07-16 |
1689299133 | Chloe Arns | Psychologist | 16484 N 68th Ave, Peoria, AZ 85382-3981 | 2020-06-10 |
1710522487 | Aubri Hall | Psychologist | 21115 E Alyssa Rd, Queen Creek, AZ 85142-6556 | 2019-11-16 |
1659927242 | Kristin Lee Carbone-kebble | Psychologist | 480 Mate Ln, Lake Havasu City, AZ 86406-6201 | 2019-08-10 |
1841843067 | Rebecca Harmon | Psychologist | 6151 E Wildcat Dr, Cave Creek, AZ 85331-3043 | 2019-07-17 |
1922589126 | Lisa M Browne | Psychologist | 3584 E Fox Trotter Rd, Tucson, AZ 85739-8334 | 2018-08-24 |
1336637321 | Rebecca Simonson | Psychologist | 6200 E San Bernardino, Tucson, AZ 85715-3037 | 2018-04-25 |
1053826545 | Angela Coyle | Psychologist | 4841 W Lone Dove Dr, Marana, AZ 85658-4735 | 2017-12-06 |
Find all providers with the same taxonomy |
City | LITTLEFIELD |
Zip Code | 86432 |
Please comment or provide details below to improve the information on MRS. WENDIE G 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.