JOHN R. BLACK


Address: 102 Spellman St, Mount Horeb, WI 53572
Phone: 6084371946

JOHN R. BLACK (NPI# 1720221435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720221435
Entity Type Individual
Full Name JOHN R. BLACK
Credential MS PHD.
Practice Address 102 Spellman St
Mount Horeb
WI 53572
Practice Telephone 6084371946
Mailing Telephone 6084371946
Enumeration Date 2009-04-10
Last Update Date 2009-04-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Other Providers JOHN BLACK

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1801925607 John R. Black Dentist 4347 Rice St Ste 202, Lihue, HI 96766-1335 2007-03-05
1437236569 John J Black Dentist 475 Trade Sq W, Troy, OH 45373-2461 2006-11-01
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1225079825 John Larry Black Emergency Medicine 4364 Hwy 51 South, Senatobia, MS 38668-2534 2006-06-08
1609872282 John Alexander Black Radiology 1025 Medical Center Dr, Delaney Radiologists Group, Pllc, Wilmington, NC 28401 2005-06-28
1497375570 John Michael Black Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 2020-04-20
1710340203 John James Black Internal Medicine 320 E North Ave, Pittsburgh, PA 15212-4756 2016-04-01

Office Location

Street Address 102 SPELLMAN ST
City MOUNT HOREB
State WI
Zip Code 53572

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811509979 Natural Wisdom Counseling LLC Clinic/Center 1523 Wi-78 Trunk, Mount Horeb, WI 53572 2020-08-20
1255810552 Julie Tallard Johnson Social Worker 401 Green Street, Mount Horeb, WI 53572 2018-08-08
1154770394 Elisa Schoeberle Speech-Language Pathologist 407 N. 8th St., Mount Horeb, WI 53572 2016-06-08
1780059238 Jessica Dallman Counselor 1523 Wisconsin 78 Trunk, Mount Horeb, WI 53572 2015-12-09
1922436401 Yoon Chul Choi Chiropractor 1505 Bus. Hwy. 18-151e, Mt. Horeb, WI 53572 2013-10-22
1740529114 Kerrie Borchardt Licensed Practical Nurse 9002 County Road G, Mount Horeb, WI 53572 2013-02-05
1669500047 Brenda Trudell, LLC Chiropractor 1861 Bus Hwy 18 151 East, Mount Horeb, WI 53572 2007-02-28
1356427405 James T Stoenner Chiropractor 1505 Business Hwy 18-151, Mt. Horeb, WI 53572 2006-10-31
1427134576 Douglas B. Cox Chiropractor 1505 Business Hwy 18-151 E, Mt. Horeb, WI 53572 2006-10-31
1629003017 C.s. Gonstead Chiropractic Foundation, Inc Chiropractor 1505 Springdale St, Mt. Horeb, WI 53572 2006-07-12
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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1669095303 Generational Cycles LLC Psychologist 2208 W Rohr Ave, Milwaukee, WI 53209-5057 2020-05-27
1518529718 Ellen Marie Meier-licht Psychologist 200 N Mall Dr, Appleton, WI 54913-8500 2019-07-08
1396309076 John Nathaniel Greene Jr. Psychologist 6100 N 42nd St, Milwaukee, WI 53209-3560 2019-04-27
1396201455 Pathways Counseling Services Psychologist 1025 56th St, Kenosha, WI 53140-3737 2019-02-13
1912461385 We All Rise Counseling Services LLC Psychologist 529 S Jefferson St Ste 201, Green Bay, WI 54301-4125 2019-01-30
1417426925 Edward Dow Psychologist W268n1988 Shooting Star Road, Pewaukee, WI 53072 2018-11-14
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Competitor

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City MOUNT HOREB
Zip Code 53572

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Dataset Information

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.

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