JACY LEIGH BLACK
NPI 1104531615
Psychologist in Santa Ana, CA

Active since January 18, 2023
200 W SANTA ANA BLVD STE 801, SANTA ANA, CA 92701(714) 704-5900 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2025, Jan 18, 2023 (2 updates tracked since 2023).

About Jacy Leigh Black NPPES

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

JACY LEIGH BLACK (NPI 1104531615) is an individual psychologist in Santa Ana, California and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1104531615
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJACY LEIGH BLACK
Location Address200 W SANTA ANA BLVD STE 801Santa Ana, CA 92701-4134
Mailing Address200 W Santa Ana Blvd Ste 801Santa Ana, CA 92701-4134 · (714) 704-5900
Sole ProprietorNo
Enumeration DateJanuary 18, 2023
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
NPI 1104531615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
200 W SANTA ANA BLVD STE 801, Santa Ana, CA 92701

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
200 W SANTA ANA BLVD STE 801
SANTA ANA, CA 92701
Social Worker
200 W SANTA ANA BLVD STE 801
SANTA ANA, CA 92701
Psychologist (Clinical)
200 W SANTA ANA BLVD STE 801
SANTA ANA, CA 92701
Marriage & Family Therapist
200 W SANTA ANA BLVD STE 801
SANTA ANA, CA 92701
Marriage & Family Therapist
200 W SANTA ANA BLVD STE 801
SANTA ANA, CA 92701
Counselor (Mental Health)
200 W SANTA ANA BLVD STE 801
SANTA ANA, CA 92701
Marriage & Family Therapist
200 W SANTA ANA BLVD STE 801
SANTA ANA, CA 92701
Marriage & Family Therapist
200 W SANTA ANA BLVD STE 801
SANTA ANA, CA 92701

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 Jacy Black's NPI number?

The NPI number for Jacy Black is 1104531615. It was assigned to this individual provider in the NPPES registry on January 18, 2023.

Where is Jacy Black located?

Jacy Black practices at 200 W Santa Ana Blvd Ste 801, Santa Ana, CA 92701. The listed phone number is (714) 704-5900.

What is Jacy Black's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Jacy Black was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.