BRUCE BLACK M.D. P.C. (NPI# 1437168044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437168044 |
| Entity Type | Organization |
| Organization Name | BRUCE BLACK M.D. P.C. |
| Other Organization Name | COMPREHENSIVE PSYCHIATRIC ASSOCIATES |
| Practice Address |
372 Washington St Wellesley MA 02481-6202 |
| Practice Telephone | 7812393550 |
| Practice Fax Number | 7812393272 |
| Mailing Telephone | 7812393550 |
| Mailing Fax Number | 7812393272 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBIN BALLARD (BILLING MANAGER) |
| Authorized Official Telephone | 7812393550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
MA | Behavioral Health & Social Service Providers | |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
MA | Behavioral Health & Social Service Providers | |
| X | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
MA | Nursing Service Providers | |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MA | Allopathic & Osteopathic Physicians | |
| X | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBSMA | M16732 | 01 |
| MA | TUFTS HEALTH PLAN | 615009 | 01 |
| Other Name | Type Code |
|---|---|
| Comprehensive Psychiatric Associates | Doing Business As Name - Organization |
| Street Address |
372 WASHINGTON ST |
| City | WELLESLEY |
| State | MA |
| Zip Code | 02481-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144200981 | Linda Diane Kames | Psychologist | 372 Washington St, Wellesley, MA 02481-6202 | 2006-01-18 |
| 1669028353 | Premier Dermatology, Pllc | Dermatology | 372 Washington St, 2nd Floor, Wellesley, MA 02481-6216 | 2019-08-18 |
| 1881134203 | Kristen Rivard | Nurse Practitioner | 372 Washington St, Wellesley, MA 02481-6202 | 2017-03-03 |
| 1093152662 | Meghan S. Garcia Webb | Internal Medicine | 372 Washington St, Wellesley, MA 02481-6202 | 2013-05-23 |
| 1386995397 | Matthew R. Fantasia, D.m.d., P.C. | Dentist | 372 Washington St, Wellesley, MA 02481-6202 | 2012-10-01 |
| 1689950412 | Willie L. Stephens, Dds, PC | Dentist | 372 Washington St, Suite 2500, Wellesley, MA 02481-6202 | 2011-10-25 |
| 1265699888 | Jonathan Stephens | Dentist | 372 Washington St, Wellesley, MA 02481-6202 | 2008-05-21 |
| 1275707275 | Judy Korik Weinstock | General Practice | 372 Washington St, Wellesley, MA 02481-6202 | 2008-04-22 |
| 1114108438 | Justin Sanders Groode | Family Medicine | 372 Washington St, Marino Center for Integrative Health, Wellesley, MA 02481-6202 | 2007-11-15 |
| 1871790170 | John Sexton, Dmd, Msd,pc | Dentist | 372 Washington St, Suite 2500, Wellesley, MA 02481-6202 | 2007-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1922651215 | Steffanie Accorsi | Behavior Technician | 110 Cedar St, Suite 10, Wellesley, MA 02481 | 2019-07-17 |
| 1023673977 | Alka Swarup | Occupational Therapist | 10 Hunnewell Street, Wellesley Hls, MA 02481 | 2019-05-07 |
| 1740779511 | Marianne Brandon | Psychologist | Marianne Brandon Phd, 25 Walnut St #202, Wellesley Hills, MA 02481 | 2018-05-07 |
| 1558722686 | Robin Cook-nobles | Psychologist | 106 Central Street, The Stone Center Wellesley College, Wellesley, MA 02481 | 2016-03-17 |
| 1851760169 | Samantha Eve Jordan | Student in an Organized Health Care Education/Training Program | 30 Washington Street Suite 300, Wellesley, MA 02481 | 2015-09-16 |
| 1942677224 | Sandra Schwartz | Physical Therapist | Summit Orthopedic Therapy, 40 Washington Street, Wellesly, MA 02481 | 2015-08-21 |
| 1053710467 | Train Boston Physical Therapy, Inc. | Exclusive Provider Organization | 34 Washington Street, Wellesley, MA 02481 | 2014-08-21 |
| 1124458344 | Allison Arrigg | Counselor | 11 Chapel Place, Human Relations Service, Wellesley Hills, MA 02481 | 2013-11-25 |
| 1932531472 | Abigail Gorman Daunis | Physical Therapist | 34 Washington St., Wellesley, MA 02481 | 2013-08-07 |
| Find all providers in zip 02481 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205328572 | Dennis Barr | Psychologist | 554 Washington St Ste 12, Wellesley, MA 02482-6473 | 2018-06-03 |
| 1497244479 | Dennis J Ceru | Psychologist | 25 Damien Rd, Wellesley, MA 02481-3404 | 2018-05-06 |
| 1942621636 | Julie Lee | Psychologist | 3 Frost Cir, Wellesley, MA 02482-2336 | 2013-12-23 |
| 1548579949 | Tammy M Bean | Psychologist | 8 Grove St Ste 300, Wellesley, MA 02482-7739 | 2010-10-02 |
| 1962648477 | Mitchell Robert Bornstein | Psychologist | 260 Wellesley Ave, Wellesley, MA 02481-6809 | 2009-01-05 |
| 1033366224 | Sarah R Karytko | Psychologist | 8 Grove St Ste 402, Wellesley, MA 02482-7798 | 2008-08-19 |
| 1689893547 | Ann Hagan Webb | Psychologist | 303 Worcester St, Wellesley, MA 02481-5339 | 2007-04-25 |
| 1679630826 | Richard H Stellar | Psychologist | 486 Washington Street, Wellesley, MA 02482 | 2007-01-03 |
| 1457410706 | Patricia M Conway | Psychologist | 8 Grove Street, Suite 303, Wellesley, MA 02482-7777 | 2006-12-06 |
| 1811055494 | Sharon L Baker | Psychologist | 39 Emerson Rd, Wellesley, MA 02481-3410 | 2006-12-05 |
| Find all providers in WELLESLEY | ||||
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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.