MICHELLE LYNN JOCHIM BLACK PH.D.
NPI 1356714893
Psychologist in Saint Louis, MO

Active since November 05, 2015PECOS Enrolled
3800 PARK AVE, SAINT LOUIS, MO 63110(314) 577-5667(314) 268-2784 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michelle Lynn Jochim Black Ph.d. NPPES

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

MICHELLE LYNN JOCHIM BLACK PH.D. (NPI 1356714893) is an individual psychologist in Saint Louis, Missouri, licensed in Missouri (2015035134) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356714893
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMICHELLE LYNN JOCHIM BLACKCredential: PH.D.
Location Address3800 PARK AVESaint Louis, MO 63110-2514
Mailing Address3800 Park AveSaint Louis, MO 63110-2514 · (314) 577-5667 · Fax (314) 268-2784
Fax(314) 268-2784
Sole ProprietorNo
Enumeration DateNovember 5, 2015
Last NPPES UpdateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
NPI 1356714893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MO · 2015035134
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.
3800 PARK AVE, Saint Louis, MO 63110

Other Identifiers 2

Other20042867AIN · Medical License
Other2015035134MO · Medical License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michelle Lynn Jochim Black Ph.d. 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.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner
3800 PARK AVE
SAINT LOUIS, MO 63110
Social Worker (Clinical)
3800 PARK AVE
SAINT LOUIS, MO 63110
Psychologist (Clinical Child & Adolescent)
3800 PARK AVE
SAINT LOUIS, MO 63110

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 Michelle Black's NPI number?

The NPI number for Michelle Black is 1356714893. It was assigned to this individual provider in the NPPES registry on November 5, 2015.

Where is Michelle Black located?

Michelle Black practices at 3800 Park Ave, Saint Louis, MO 63110. The listed phone number is (314) 577-5667.

What is Michelle Black's specialty?

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

Is Michelle Black enrolled in Medicare?

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

What insurance does Michelle Black accept?

Health plans from Medica list Michelle 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 Michelle Black was last updated on November 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.