DR. KEVIN J BLACK (NPI# 1558389007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558389007 |
| Entity Type | Individual |
| Full Name | DR. KEVIN J BLACK |
| Credential | MD |
| Practice Address |
517 S Euclid Ave Saint Louis MO 63110-1007 |
| Mailing Address |
660 S Euclid Ave Cb 8134 Saint Louis MO 63110-1010 |
| Practice Telephone | 3142861700 |
| Practice Fax Number | 3142861799 |
| Mailing Telephone | 3142861700 |
| Mailing Fax Number | 3142861777 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
37001 | MO | Allopathic & Osteopathic Physicians |
| N | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
37001 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 206946006 | 05 | |
| IL | ENROLLED | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013352863 | Kevin Black | Dentist | 700 Essex St Unit 1a1, Lawrence, MA 01841-4396 | 2013-05-07 |
| 1003995085 | Kevin Hale Black | Dentist | 205th Dental Squadron, Bldg 2417, Mcguire Blvd, Mcguire Afb, NJ 08641 | 2006-11-02 |
| 1285256909 | Kevin Zachary Black | Student in an Organized Health Care Education/Training Program | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2020-05-15 |
| 1710514591 | Kevin Benjamin Black Jr. | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-03-24 |
| 1821644576 | Kevin Black | Behavior Technician | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2019-08-16 |
| 1699263889 | Kevin Black | Social Worker | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2018-04-24 |
| 1275763393 | Kevin Heath Black | Physical Therapist | 8201 Atlee Rd, Suite D, Mechanicsville, VA 23116-1815 | 2009-07-23 |
| 1497719603 | Kevin P Black | Orthopaedic Surgery | 30 Hope Dr Ste 2400, Hershey, PA 17033 | 2006-04-14 |
| Street Address |
517 S EUCLID AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596890 | Robert M Feibel | Ophthalmology | 517 S Euclid Ave, Saint Louis, MO 63110-1007 | 2005-05-23 |
| 1053856963 | Tiffany Christina Ho | Ophthalmology | 517 S Euclid Ave, 1st Fl, Dept Opthalmology, Saint Louis, MO 63110-1007 | 2016-12-31 |
| 1578914974 | Alexander Steven Barsam | Ophthalmology | 517 S Euclid Ave, 1st Fl, Dept Opthalmology, Saint Louis, MO 63110-1007 | 2016-06-27 |
| 1093165490 | Maxwell William Dixon | Ophthalmology | 517 S Euclid Ave, 1st Fl, Dept Opthalmology, Saint Louis, MO 63110-1007 | 2016-06-16 |
| 1518314350 | Eric Landis Sollenberger | Ophthalmology | 517 S Euclid Ave, 1st Fl, Dept Opthalmology, Saint Louis, MO 63110-1007 | 2016-05-23 |
| 1972957975 | Kishan Girish Patel | Ophthalmology | 517 S Euclid Ave, 1st Fl, Dept Opthalmology, Saint Louis, MO 63110-1007 | 2016-04-16 |
| 1497119093 | Khin Pyaesone Kilgore | Ophthalmology | 517 S Euclid Ave, 1st Fl, Dept Opthalmology, Saint Louis, MO 63110-1007 | 2016-04-09 |
| 1639533722 | Jason Nicholas Papas | Ophthalmology | 517 S Euclid Ave, 1st Fl, Dept Opthalmology, Saint Louis, MO 63110-1007 | 2016-04-05 |
| 1427439298 | Bliss Elizabeth O'bryhim | Ophthalmology | 517 S Euclid Ave, Saint Louis, MO 63110-1007 | 2015-06-17 |
| 1093101974 | James Chang Liu | Ophthalmology | 517 S Euclid Ave, Saint Louis, MO 63110-1007 | 2015-04-08 |
| Find all providers in the same location | ||||
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275193906 | New Day Psychiatric Services | Psychiatry & Neurology | 9904 Clayton Rd Ste 135, Saint Louis, MO 63124-1149 | 2019-06-14 |
| 1336607282 | Qsr Psychiatric Solutions LLC | Psychiatry & Neurology | 12855 N 40 Dr Ste 350, Saint Louis, MO 63141-8669 | 2019-03-11 |
| 1992127492 | St. Anthony's Physician Organization | Psychiatry & Neurology | 10020 Kennerly Rd Fl 2, Saint Louis, MO 63128-2106 | 2014-01-17 |
| 1942644349 | Tianyuan Yin Cornell | Psychiatry & Neurology | 10020 Kennerly Rd, Saint Louis, MO 63128-2106 | 2013-04-29 |
| 1881943223 | Jessica Christine Oetting Rosenkvist | Psychiatry & Neurology | Washington University Department of Psychiatry, Campus Box 8134, Saint Louis, MO 63110-1010 | 2012-08-30 |
| 1902111388 | Daniel Murray | Psychiatry & Neurology | 4907 W Pine Blvd, Apt 318, Saint Louis, MO 63108 | 2010-08-10 |
| 1467767913 | Marie Walker | Psychiatry & Neurology | Wash U School of Medicine, 660 S Euclid Ave, Department of Psychiatry, Saint Louis, MO 63110 | 2010-08-09 |
| 1871804914 | Alexander E Graypel | Psychiatry & Neurology | 10004 Kennerly Rd Ste 362b, Saint Louis, MO 63128-2178 | 2010-06-23 |
| 1295051548 | Enquan Gao | Psychiatry & Neurology | 815 Renee Ln, Saint Louis, MO 63141-7642 | 2010-04-12 |
| 1124342894 | John Henry Sweet | Psychiatry & Neurology | 4930 Pershing Pl, Saint Louis, MO 63108-1202 | 2010-03-24 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
Please comment or provide details below to improve the information on DR. KEVIN J 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.