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CARLA MARIE BLACK MD
NPI 1124473749
Psychiatry & Neurology - Child & Adolescent Psychiatry in Indianapolis, IN

Active since May 02, 2016PECOS Enrolled
6640 INTECH BLVD STE 195, INDIANAPOLIS, IN 46278(317) 295-0608(317) 948-0609 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2025, Jun 7, 2022, Jul 1, 2020 (3 updates tracked since 2020).

About Carla Marie Black Md NPPES

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

CARLA MARIE BLACK MD (NPI 1124473749) is an individual child & adolescent psychiatry provider in Indianapolis, Indiana, licensed in Indiana (01087770A) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1124473749
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameCARLA MARIE BLACKCredential: MD
Location Address6640 INTECH BLVD STE 195Indianapolis, IN 46278-2014
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 295-0608
Fax(317) 948-0609
Sole ProprietorNo
Enumeration DateMay 2, 2016
Last NPPES UpdateMay 15, 20253 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1124473749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in IN · 01087770A
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPediatricsTaxonomy 208000000X · License 01087770A (IN)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 310168 (LA), 01087770A (IN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6640 INTECH BLVD STE 195, Indianapolis, IN 46278
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258
Location 21430 Tulane Ave # 8055New Orleans, LA 70112-2632 · Phone (504) 988-7829 · Fax (504) 988-4264
Location 3300 4th StBridge City, LA 70094-3320 · Phone (866) 530-6111 · Fax (504) 575-3691

Other Identifiers 2

Other1102529646IN · Anthem Ptan
Medicaid300062282IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carla Marie Black Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Carla Black reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Indiana University Health Care Associates, Inc.
8.4 mi
Dietitian, Registered
1800 N CAPITOL AVE, B445
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group
NPI 1679949002 (317) 944-3500
Iu Health Medical Group, LLC
8.4 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000
Iu Health Medical Group Riley Specialists, LLC
8.5 mi
Pediatrics
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 523 clinicians in this Medicare group
NPI 1699561480 (317) 944-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

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

DR. BRIANNA MARGO BORRI PSYD.
Psychologist (Clinical Child & Adolescent)
6640 INTECH BLVD STE 195
INDIANAPOLIS, IN 46278
Marion County (616) 301-5933
JANET SUE BROWN LMHC, ATR
Counselor (Mental Health)
6640 INTECH BLVD STE 195
INDIANAPOLIS, IN 46278
Marion County (317) 295-0608
KALYN JORGENSEN LMHC
Counselor (Mental Health)
6640 INTECH BLVD STE 195
INDIANAPOLIS, IN 46278
Marion County (317) 295-0608
DR. KELLY E BRADLEY PSYD
Psychologist (Cognitive & Behavioral)
6640 INTECH BLVD STE 195
INDIANAPOLIS, IN 46278
Marion County (317) 295-0608
ELIZABETH S MANN RD
Dietitian, Registered
6640 INTECH BLVD STE 195
INDIANAPOLIS, IN 46278
Marion County (317) 295-0608
ANNA MARIE REESE M.ED, LSC, LMHC
Counselor (Mental Health)
6640 INTECH BLVD STE 195
INDIANAPOLIS, IN 46278
Marion County (317) 295-0608
LISA DIANE CARRICO
Social Worker (Clinical)
6640 INTECH BLVD STE 195
INDIANAPOLIS, IN 46278
Marion County (317) 295-0608
HANNAH C DORAN MS, RD, CD
Dietitian, Registered
6640 INTECH BLVD STE 195
INDIANAPOLIS, IN 46278
Marion County (317) 295-0608

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 Carla Black's NPI number?

The NPI number for Carla Black is 1124473749. It was assigned to this individual provider in the NPPES registry on May 2, 2016.

Where is Carla Black located?

Carla Black practices at 6640 Intech Blvd Ste 195, Indianapolis, IN 46278. The listed phone number is (317) 295-0608.

What is Carla Black's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Carla Black enrolled in Medicare?

Yes. Carla Black is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carla Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carla Black reassigns Medicare benefits to 3 organizations: Indiana University Health Care Associates, Inc. (Indianapolis, IN), Iu Health Medical Group, LLC (Indianapolis, IN) and Iu Health Medical Group Riley Specialists, LLC (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carla Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carla Black accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Carla 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 Carla Black was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.