MS. JOANNE BLACK (NPI# 1760426142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760426142 |
| Entity Type | Individual |
| Full Name | MS. JOANNE BLACK |
| Credential | MA LLP |
| Practice Address |
447 1st St Menominee MI 49858-3307 |
| Practice Telephone | 9068642590 |
| Practice Fax Number | 9068643307 |
| Mailing Telephone | 9068642590 |
| Mailing Fax Number | 9068643058 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301007996 | MI | Behavioral Health & Social Service Providers |
| Street Address |
447 1ST ST |
| City | MENOMINEE |
| State | MI |
| Zip Code | 49858-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235212960 | Jeanne M Harper | Social Worker | 447 1st St, Menominee, MI 49858-3307 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942843800 | Lynnette Marie Geib | Technician | N1872 Hwy M-35, Menominee, MI 49858 | 2019-10-23 |
| 1669955514 | Corrina Rae Anderson | Behavior Technician | 1104 16th Ave, Menominee, MI 49858 | 2018-09-06 |
| 1740668565 | Eyecare Services, LLC | Voluntary or Charitable | 3400 North 10th St #73, Menominee, MI 49858 | 2015-05-13 |
| 1922300714 | Great Lakes Recovery Centers, Inc. | Community/Behavioral Health | 3120 10th Street, Suite 2, Menominee, MI 49858 | 2010-11-30 |
| 1295043651 | Andrew John Thanos | Dentist | 1201 10th Street, Menominee, MI 49858 | 2010-09-20 |
| 1962645226 | Mack Occupational Health Services Sc | General Practice | N528 Fairland Island, Menominee, MI 49858 | 2009-04-15 |
| 1194901686 | Bonnie Susan Pulkowski | Nurse Practitioner | 1110 10th Ave Ste 101, Menominee, MI 49858 | 2008-01-14 |
| 1740383207 | Troy R Clausen | Dentist | N166 West Dr, Menominee, MI 49858 | 2006-09-07 |
| 1750483095 | George Swift Harris | Dentist | 2012 10th St, Menominee, MI 49858 | 2006-09-05 |
| 1316912397 | John Owens Beldo | Dentist | 2108 22nd Ave, Menominee, MI 49858 | 2006-02-22 |
| Find all providers in zip 49858 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877762 | Lifesource of North Carolina | Psychologist | 501 2nd St, Menominee, MI 49858-3203 | 2020-10-01 |
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|---|---|---|---|---|
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| 1083213631 | Robert J. Sheppard Phd Pllc | Psychologist | 8339 Brookwood Dr, Portage, MI 49024-5207 | 2020-10-23 |
| 1952900037 | Jamila Simone Steward | Psychologist | 31275 Northwestern Hwy Ste 216, Farmington Hills, MI 48334-2570 | 2020-10-20 |
| 1992303465 | Madison Bryant | Psychologist | 1231 S Cass Lake Rd, Waterford, MI 48328-4739 | 2020-10-15 |
| 1730787664 | Athal Yako | Psychologist | 18230 Teresa Dr, Macomb, MI 48044-1681 | 2020-10-13 |
| 1538767678 | Up Telehealth, LLC | Psychologist | 228 W Washington St Ste 7, Marquette, MI 49855-4330 | 2020-10-12 |
| 1881292076 | Meaningful Change: Clinical & Consultation Psychology, Pllc | Psychologist | 1861 Woodland Dr, Mount Pleasant, MI 48858-1298 | 2020-10-11 |
| 1902404122 | Dorrean Riley | Psychologist | 19189 Lexington, Redford, MI 48240-2618 | 2020-10-09 |
| 1174130850 | Timber Creek Counseling West LLC | Psychologist | 2976 Ivanrest Ave Sw Ste 215, Grandville, MI 49418-1440 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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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.