DR. DAVID L. BLACK PSY.D., LCSW
NPI 1386640159
Psychologist - Health Service in Springfield, MO

Active since June 24, 2005
1531 E BRADFORD PKWY, STE 210-4, SPRINGFIELD, MO 65804(417) 890-4083(417) 890-4091 Get Directions Write a Review

NPPES record last updated: April 21, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. David L. Black Psy.d., Lcsw NPPES

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

DR. DAVID L. BLACK PSY.D., LCSW (NPI 1386640159) is an individual health service provider in Springfield, Missouri, licensed in Missouri (2009026793) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1386640159
Entity TypeIndividualMale
Primary Taxonomy103TH0100X
Provider Legal NameDR. DAVID L. BLACKCredential: PSY.D., LCSW
Location Address1531 E BRADFORD PKWY, STE 210-4Springfield, MO 65804-6566
Mailing Address1531 E Bradford Pkwy, Ste 210-4Springfield, MO 65804-6566 · (417) 890-4083 · Fax (417) 890-4091
Fax(417) 890-4091
Sole ProprietorNo
Enumeration DateJune 24, 2005
Last NPPES UpdateApril 21, 2011
NPI 1386640159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License Licensed in MO · 2009026793
Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 2009026793 (MO)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 2009026793 (MO)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 2009026793 (MO)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 2009026793 (MO)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 2009026793 (MO)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License 2009026793 (MO)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 2001004284 (MO)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 2001004284 (MO)
1531 E BRADFORD PKWY, Springfield, MO 65804

Other Identifiers 2

Medicaid494960107MO
Medicare ID-Type Unspecified000078765MO

Other Providers at the Same Location NPPES 16

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

Dermatology
1531 E BRADFORD PKWY, SUITE 215
SPRINGFIELD, MO 65804
Ophthalmology
1531 E BRADFORD PKWY, SUITE 100
SPRINGFIELD, MO 65804
Optometrist
1531 E BRADFORD PKWY, SUITE 100
SPRINGFIELD, MO 65804
Ophthalmology
1531 E BRADFORD PKWY, SUITE 100
SPRINGFIELD, MO 65804
Psychologist (Clinical)
1531 E BRADFORD PKWY, SUITE 202
SPRINGFIELD, MO 65804
Dermatology
1531 E BRADFORD PKWY, SUITE 215
SPRINGFIELD, MO 65804
Psychologist (Clinical)
1531 E BRADFORD PKWY, SUITE 304
SPRINGFIELD, MO 65804
Psychologist (Health Service)
1531 E BRADFORD PKWY, STE 210-4
SPRINGFIELD, MO 65804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386640159, enumerated as an "individual" on June 24, 2005.

The provider is located at 1531 E BRADFORD PKWY STE 210-4 SPRINGFIELD, MO 65804 and the phone number is (417) 890-4083.

Psychologist with taxonomy code 103TH0100X and a focus in Health Service.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.