MICHELLE RENEE BLACK (NPI# 1578030946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578030946 |
| Entity Type | Individual |
| Full Name | MICHELLE RENEE BLACK |
| Practice Address |
19 Robinson Rd Clinton NY 13323-1418 |
| Practice Telephone | 3158536090 |
| Mailing Telephone | 3158536090 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356714893 | Michelle Lynn Jochim Black | Psychologist | 3800 Park Ave, Saint Louis, MO 63110-2514 | 2015-11-05 |
| 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 |
| 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 |
19 ROBINSON RD |
| City | CLINTON |
| State | NY |
| Zip Code | 13323-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568607042 | Building Blocks Learning Center, LLC | Early Intervention Provider Agency | 19 Robinson Rd, Clinton, NY 13323-1418 | 2008-12-11 |
| 1619574373 | Liliya Silchuk | Speech-Language Pathologist | 19 Robinson Rd, Clinton, NY 13323-1418 | 2020-10-06 |
| 1588277446 | Tori Weaver | Student in an Organized Health Care Education/Training Program | 19 Robinson Rd, Clinton, NY 13323-1418 | 2020-08-28 |
| 1326674284 | Carol Mcqueary | Case Manager/Care Coordinator | 19 Robinson Rd, Clinton, NY 13323-1418 | 2020-03-22 |
| 1013555465 | Meghan Mary Mortensen | Occupational Therapist | 19 Robinson Rd, Clinton, NY 13323-1418 | 2019-12-17 |
| 1780226191 | Heather Anne Valyou | Case Manager/Care Coordinator | 19 Robinson Rd, Clinton, NY 13323-1418 | 2019-10-17 |
| 1881242014 | Sophia Laposta | Student in an Organized Health Care Education/Training Program | 19 Robinson Rd, Clinton, NY 13323-1418 | 2019-08-30 |
| 1780230391 | Melissa Margadona | Specialist | 19 Robinson Rd, Clinton, NY 13323-1418 | 2019-08-11 |
| 1295397149 | Susan Ann Duckett | Case Manager/Care Coordinator | 19 Robinson Rd, Clinton, NY 13323-1418 | 2019-07-01 |
| 1881257533 | Laurie Anne Ducharme | Case Manager/Care Coordinator | 19 Robinson Rd, Clinton, NY 13323-1418 | 2019-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629603881 | Dynamic Chiropractic and Physical Therapy Pllc | Clinic/Center | 7883 Seneca Turnpike, Clinton, Clinton, NY 13323 | 2020-03-09 |
| 1558736413 | John Alexander Nasrinpay | Physical Therapist | 7883 Seneca Turnpike, Clinton, NY 13323 | 2015-12-03 |
| 1518216043 | Lesley Vella | Speech-Language Pathologist | 2 East Park Row, Clinton, NY 13323 | 2012-08-30 |
| 1649329087 | Marsette A Vona Dmd PC | Dentist | 5 South Park Row, Clinton, NY 13323 | 2007-01-08 |
| 1366557084 | Donna R Kapes | Social Worker | 2 Williams St, Clinton, NY 13323 | 2006-08-21 |
| 1386697464 | Kristin M Dempsey | Nurse Practitioner | 110 Utica Road, Clinton, NY 13323 | 2006-05-18 |
| 1700417201 | Cornwell Ave Physical Therapy PC | Clinic/Center | 7883 Seneca Turnpike, Clinton, NY 13323 | 2020-02-03 |
| 1770705782 | Thomas Richard Carone | Chiropractor | 1 Kirkland Ave, Suite 101, Clinton, NY 13323 | 2007-05-02 |
| 1427195023 | Sharon P. Dicks | Nurse Practitioner | 198 College Hill Rd, Tb Rudd Health Center, Clinton, NY 13323 | 2007-01-31 |
| 1215009105 | Nancy Rayne | Registered Nurse | 7325 State Route 5, Clinton, NY 13323 | 2006-11-15 |
| Find all providers in zip 13323 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730543950 | Latesha Powell | Specialist | 8708 Shannan Dr, Clinton, MD 20735-2447 | 2016-04-13 |
| 1093111775 | Becquelyn Green | Specialist | 104 Elgin Pl, Clinton, MS 39056-3946 | 2014-11-07 |
| 1710301908 | Heather Oakes | Specialist | 8577 Wonderland Ave Nw, Clinton, OH 44216-9516 | 2014-02-10 |
| 1366870347 | Jay De Vera | Specialist | 417 W Elizabeth St Apt A, Clinton, NC 28328-4465 | 2013-10-29 |
| 1346676459 | Belinda Gail Holt | Specialist | 814 W Gary Blvd, Clinton, OK 73601-2720 | 2013-09-20 |
| 1689000879 | Salim Y. Mansoor M.d., P.a. | Specialist | 7501 Surratts Rd Ste 110, Clinton, MD 20735-3350 | 2013-09-19 |
| 1003183666 | Rosemary S Marcus | Specialist | 102 College St, Clinton, NY 13323-1637 | 2011-11-28 |
| 1003060757 | Eastern Ent Sinus & Allergy Center, Pa | Specialist | 504 Balsey St, Clinton, NC 28328-2902 | 2008-11-07 |
| 1487804936 | Amecia Dore Usual | Specialist | 9135 Piscataway Rd Ste 340, Clinton, MD 20735-2576 | 2008-09-21 |
| 1548440290 | Carlene Oliver | Specialist | 407 Oak Tree Dr, Clinton, MI 49236-9739 | 2007-11-10 |
| Find all providers in CLINTON | ||||
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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.