MS. DENISE BLACK
NPI 1194029371
Licensed Psychiatric Technician in Santa Rosa, CA

Active since January 03, 2011
327 COLLEGE AVE, SANTA ROSA, CA 95401(707) 568-2800(707) 568-2804 Get Directions Write a Review

NPPES record last updated: January 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Denise Black NPPES

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

MS. DENISE BLACK (NPI 1194029371) is an individual licensed psychiatric technician in Santa Rosa, California, licensed in California (PT35099) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1194029371
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameMS. DENISE BLACK
Location Address327 COLLEGE AVESanta Rosa, CA 95401-5117
Mailing Address327 College AveSanta Rosa, CA 95401-5117 · (707) 568-2800 · Fax (707) 568-2804
Fax(707) 568-2804
Sole ProprietorNo
Enumeration DateJanuary 3, 2011
NPI 1194029371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License Licensed in CA · PT35099
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
327 COLLEGE AVE, Santa Rosa, CA 95401

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.

Case Manager/Care Coordinator
327 COLLEGE AVE
SANTA ROSA, CA 95401
Case Manager/Care Coordinator
327 COLLEGE AVE
SANTA ROSA, CA 95401
Licensed Psychiatric Technician
327 COLLEGE AVE
SANTA ROSA, CA 95401
Social Worker (Clinical)
327 COLLEGE AVE
SANTA ROSA, CA 95401
Day Training/Habilitation Specialist
327 COLLEGE AVE
SANTA ROSA, CA 95401
Case Manager/Care Coordinator
327 COLLEGE AVE
SANTA ROSA, CA 95401
Case Manager/Care Coordinator
327 COLLEGE AVE
SANTA ROSA, CA 95401
Rehabilitation Practitioner
327 COLLEGE AVE
SANTA ROSA, CA 95401

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 Denise Black's NPI number?

The NPI number for Denise Black is 1194029371. It was assigned to this individual provider in the NPPES registry on January 3, 2011.

Where is Denise Black located?

Denise Black practices at 327 College Ave, Santa Rosa, CA 95401. The listed phone number is (707) 568-2800.

What is Denise Black's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Denise Black was last updated on January 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.