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DR. ELLIS LUCA BLACK MD
NPI 1013395904
Psychiatry & Neurology - Psychiatry in Seattle, WA

Active since May 11, 2015
2711 E MADISON ST STE 204, SEATTLE, WA 98112(206) 984-3924(206) 339-1776 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ellis Luca Black Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELLIS LUCA BLACK MD (NPI 1013395904) is an individual psychiatry provider in Seattle, Washington, licensed in Washington (MD60937058) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1013395904
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ELLIS LUCA BLACKCredential: MD
Location Address2711 E MADISON ST STE 204Seattle, WA 98112-4763
Mailing Address2711 E Madison St Ste 204Seattle, WA 98112-4763 · (206) 984-3924 · Fax (206) 339-1776
Phone(206) 984-3924
Fax(206) 339-1776
Sole ProprietorNo
Enumeration DateMay 11, 2015
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1013395904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WA · MD60937058
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License MD60937058 (WA)
2711 E MADISON ST STE 204, Seattle, WA 98112
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Other Names 1

Former Name (1)Dr. Laura Elizabeth Black Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellis Black's NPI number?

The NPI number for Ellis Black is 1013395904. It was assigned to this individual provider in the NPPES registry on May 11, 2015. The provider is also known as Dr. Laura Elizabeth Black MD.

Where is Ellis Black located?

Ellis Black practices at 2711 E Madison St Ste 204, Seattle, WA 98112. The listed phone number is (206) 984-3924.

What is Ellis Black's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

What insurance does Ellis Black accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Ellis Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ellis Black was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.