CHRISTOPHER BLACK (NPI# 1619520467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619520467 |
Entity Type | Individual |
Full Name | CHRISTOPHER BLACK |
Practice Address |
4131 University Blvd S Jacksonville FL 32216-4326 |
Mailing Address |
2504 Van Gundy Rd Jacksonville FL 32208-2583 |
Practice Telephone | 9047450067 |
Mailing Telephone | 9044467427 |
Enumeration Date | 2019-07-22 |
Last Update Date | 2019-07-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578036711 | Christopher Michael Black | Student in an Organized Health Care Education/Training Program | 2333 Se 45th Ave, Portland, OR 97215-3729 | 2019-01-10 |
1821506163 | Christopher G Black | Psychologist | 703 3rd St Rm 1120, West Lafayette, IN 47907-2081 | 2018-01-22 |
1396727749 | Christopher Philip Black | Emergency Medicine | 18983 Us Route 11, Watertown, NY 13601-5320 | 2005-11-18 |
1407496029 | Christopher Vaughn Black | Physical Therapist | 313 Neff Ave Ste C, Harrisonburg, VA 22801-3495 | 2020-01-11 |
1710546346 | Christopher Michael Black | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9673 | 2019-06-07 |
1457736605 | Christopher Black | Pharmacist | 105 Foothills Center Dr, West Union, SC 29696-2518 | 2015-07-29 |
1205195138 | Christopher Michael Black | Student in an Organized Health Care Education/Training Program | 1102 W 32nd St, Joplin, MO 64804-3503 | 2012-05-12 |
1427219286 | Christopher Black | Anesthesiology | 450 N New Ballas Rd, Saint Louis, MO 63141-6835 | 2008-06-24 |
1235342957 | Christopher D Black | Family Medicine | 2490 Oka St, Kilauea, HI 96754-5332 | 2007-05-08 |
1770524076 | Christopher S Black | Chiropractor | 140 Point Judith Rd, #30, Narragansett, RI 02882-3451 | 2006-06-09 |
Street Address |
4131 UNIVERSITY BLVD S |
City | JACKSONVILLE |
State | FL |
Zip Code | 32216-4326 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790770873 | North Florida Medical Associates, Inc. | Family Medicine | 4131 University Blvd S, #8, Jacksonville, FL 32216-4326 | 2005-09-15 |
1316556517 | Elizabeth Anne Davis | Case Manager/Care Coordinator | 4131 University Blvd S, Jacksonville, FL 32216-4326 | 2020-07-24 |
1376168609 | Candice Cobb | Counselor | 4131 University Blvd S, Jacksonville, FL 32216-4326 | 2020-06-12 |
1114549839 | Walter Mcclinton | Counselor | 4131 University Blvd S, Jacksonville, FL 32216-4326 | 2020-05-15 |
1679105704 | David Paul Young | Counselor | 4131 University Blvd S, Jacksonville, FL 32216-4326 | 2020-02-06 |
1679112692 | Arlisa Renee Williams | Counselor | 4131 University Blvd S, Jacksonville, FL 32216-4326 | 2019-12-23 |
1174168041 | Sydne M Hennings | Counselor | 4131 University Blvd S, Jacksonville, FL 32216-4326 | 2019-11-14 |
1477198679 | Jaime Bonanno Rosado | Counselor | 4131 University Blvd S, Jacksonville, FL 32216-4326 | 2019-11-12 |
1003450875 | Angela Nicole Brown | Counselor | 4131 University Blvd S, Jacksonville, FL 32216-4326 | 2019-11-04 |
1073166849 | Nakiesha Lynn Thompson | Counselor | 4131 University Blvd S, Jacksonville, FL 32216-4326 | 2019-07-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
Find all providers in zip 32216 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720519 | Ashley Harms | Counselor | 4070 Herschel St Ste 1, Jacksonville, FL 32210-2239 | 2020-11-03 |
1902418684 | Molly Ann Burkhardt | Counselor | 5776 Saint Augustine Rd # 8030, Jacksonville, FL 32207-8046 | 2020-08-23 |
1194335638 | Aiteria Green | Counselor | 9713 Bridgeway Ave, Jacksonville, FL 32222-2913 | 2020-08-07 |
1053920116 | Barbara Burden | Counselor | 209 N Carole Dr, Jacksonville, NC 28546-4845 | 2020-07-24 |
1790393973 | Kelley Holladay | Counselor | 1782 Plantation Oaks Dr, Jacksonville, FL 32223-5010 | 2020-07-14 |
1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
1447877709 | Quendria Johnson-kerns | Counselor | 200 Zonnie Ln, Jacksonville, NC 28540-9729 | 2020-07-02 |
1467077164 | Shanna Horan | Counselor | 13500 Sutton Park Dr S Ste 702, Jacksonville, FL 32224-5290 | 2020-06-09 |
1720602527 | Shannon E Raikes | Counselor | 13990 Bartram Park Blvd Unit 209, Jacksonville, FL 32258-5543 | 2020-06-08 |
1750905253 | Kathlena N Reed | Counselor | 4131 University Blvd S Fl 32216, Jacksonville, FL 32216-4326 | 2020-06-01 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32216 |
Please comment or provide details below to improve the information on CHRISTOPHER 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.