MR. PHILLIP ANTHONY BLACK M.S.
NPI 1326149873
Counselor - Mental Health in Broken Arrow, OK

Q: What is Phillip Black's NPI number?

The NPI number for Phillip Black is 1326149873. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is Phillip Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Black was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 26, 2006

500 S SWEET GUM AVE, BROKEN ARROW, OK 74012(918) 250-5963 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Phillip Anthony Black M.s. NPPES

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

MR. PHILLIP ANTHONY BLACK M.S. (NPI 1326149873) is an individual mental health provider in Broken Arrow, Oklahoma, licensed in Oklahoma (2649) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1326149873

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. PHILLIP ANTHONY BLACKCredential: M.S.

Location Address500 S SWEET GUM AVEBroken Arrow, OK 74012-4543

Mailing Address500 S Sweet Gum AveBroken Arrow, OK 74012-4543 · (918) 250-5963

Phone(918) 250-5963

Sole ProprietorYes

Enumeration DateSeptember 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1326149873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OK · 2649

500 S SWEET GUM AVE, Broken Arrow, OK 74012

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 Phillip Black's NPI number?

The NPI number for Phillip Black is 1326149873. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Phillip Black located?

Phillip Black practices at 500 S Sweet Gum Ave, Broken Arrow, OK 74012. The listed phone number is (918) 250-5963.

What is Phillip Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Phillip Black accept?

Health plans from Medica list Phillip 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 Phillip Black was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.