MICHELLE BLACK (NPI# 1588037055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588037055 |
| Entity Type | Individual |
| Full Name | MICHELLE BLACK |
| Other Name | MICHELLE PEARL KRAVITZ |
| Credential | PH.D. |
| Practice Address |
2018 Western Ave Knoxville TN 37921-5718 |
| Mailing Address |
6350 W Andrew Johnson Hwy Department 100 Talbott TN 37877-8605 |
| Practice Telephone | 8655440406 |
| Practice Fax Number | 8655440480 |
| Mailing Telephone | 8003553565 |
| Mailing Fax Number | 4237142355 |
| 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 | 103TS0200X |
Psychologist Specialization: School |
P3257 | TN | Behavioral Health & Social 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 |
| 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 |
| 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 |
2018 WESTERN AVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37921-5718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841298031 | Tammy Renee Feehan | Pediatrics | 2018 Western Ave, Knoxville, TN 37921-5718 | 2005-07-12 |
| 1295335396 | Britney Lashea Love | Technician, Pathology | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-10-28 |
| 1518564269 | Amanda Ashley Collazo | Case Manager/Care Coordinator | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-10-06 |
| 1548867203 | Rachel Marie Koch | Case Manager/Care Coordinator | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-10-06 |
| 1881209864 | Roger Mitchell Nooe Jr. | Social Worker | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-09-15 |
| 1770196859 | Kerri Dominique Harris | Case Manager/Care Coordinator | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-08-28 |
| 1073124228 | Patrick Joseph Mcnicholas | Student in an Organized Health Care Education/Training Program | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-08-12 |
| 1932710217 | Madeline Elyse Chelko | Registered Nurse | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-08-11 |
| 1831708601 | Anne Elise Russell | Case Manager/Care Coordinator | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-07-28 |
| 1790393957 | Sydney Taylor Younginer | Student in an Organized Health Care Education/Training Program | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425366 | Marissa Michelle Sharp | Home Health Aide | 6224 Western Avenue, Knoxville, TN 37921 | 2020-04-15 |
| 1245860352 | Keshyra Paulsha Robinson | Nurse's Aide | 1754 Texas Avenue, Knoxville, TN 37921 | 2020-01-17 |
| 1700435443 | Velissa Ann Caffey | Licensed Practical Nurse | 5203 Ball Camp Pk, Knoxville, TN 37921 | 2019-09-05 |
| 1720551641 | Lindsey Michelle Yarnell | Behavior Technician | 5203 Ball Camp Pike, Knoxville, TN 37921 | 2019-01-03 |
| 1205354255 | Kylee Blair Dick | Case Manager/Care Coordinator | 600 Arthur Street, Knoxville, TN 37921 | 2017-08-30 |
| 1134658230 | Nicole Elaine Roberts | Pharmacist | 3588 Workman Rd Suite 101, Knoxville, TN 37921 | 2017-06-12 |
| 1710312053 | Megan Marie Pfeifer | Counselor | 626 Bernard Avenue, Knoxville, TN 37921 | 2013-09-05 |
| 1366601775 | Drd Management, Inc | Counselor | 412 Citico, Knoxville, TN 37921 | 2008-06-02 |
| 1457521320 | Tamara Flowers | Advanced Practice Midwife | 1925 B Ailor Avenue, Knoxville, TN 37921 | 2008-03-07 |
| 1790823722 | Oxygen and Sleep Associates, Inc. | Durable Medical Equipment & Medical Supplies | 1701 Louisville Dr, Ste. 107, Knoxville, TN 37921 | 2007-02-02 |
| Find all providers in zip 37921 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922504901 | Vincent Scott Hooper | Psychologist | 6112 Mont Richer Ave, Knoxville, TN 37918-9314 | 2018-03-30 |
| 1013169721 | Sherry Mee Bell | Psychologist | 2892 Alcoa Hwy, Knoxville, TN 37920-3705 | 2008-10-14 |
| 1669899142 | Charles Edward Galyon | Psychologist | 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4720 | 2014-03-24 |
| 1154664225 | Thomas Wade Parks | Psychologist | 10263 Kingston Pike, Knoxville, TN 37922-3276 | 2013-03-27 |
| 1528274685 | Elizabeth Anna Cox | Psychologist | 1225 E Weisgarber Rd, Suite 180 South, Knoxville, TN 37909-2604 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938076 | Ashley Young | Psychologist | 128 Farmbrook Ct, Murfreesboro, TN 37128-2995 | 2020-06-26 |
| 1366061467 | Polly Palmer | Psychologist | 925 Granada Ave, Nashville, TN 37206-3425 | 2020-04-09 |
| 1093362733 | Janita Rhodes | Psychologist | 35 Williamson Rd, Denmark, TN 38391-1828 | 2019-08-19 |
| 1649792813 | Debbie Deberry | Psychologist | 133 Mecklinburg Dr, Bolivar, TN 38008-1747 | 2017-07-10 |
| 1538691605 | Rosemarie Morelan | Psychologist | 128 County Road 801, Etowah, TN 37331-5211 | 2017-03-29 |
| 1649718560 | Tera Bradley | Psychologist | 108 Stirton Rd, Nashville, TN 37210-5120 | 2017-02-11 |
| 1912445834 | Katherine Wilds Price | Psychologist | 643 Blackstone Ave, Madison, TN 37115-4103 | 2017-02-11 |
| 1821461856 | Susan D. Sasse | Psychologist | 614 Georgia Ave, Signal Mountain, TN 37377-1814 | 2015-11-13 |
| 1114358108 | Michelle Fast | Psychologist | 205 Oak Grove Rd, Madisonville, TN 37354-5930 | 2013-12-02 |
| 1518307578 | Anitra Danielle Shelton-quinn | Psychologist | 2930 Airways Blvd, Memphis, TN 38116-3844 | 2013-07-04 |
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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.