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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: August 09, 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
Phone(417) 890-4083
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
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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.

DR. RENAE MARIE COURTNEY PSY. D.
Psychologist (Clinical)
1531 E BRADFORD PKWY, SUITE 304
SPRINGFIELD, MO 65804
Greene County (417) 888-0861
DR. DANIEL R OSBORN M.D.
Ophthalmology
1531 E BRADFORD PKWY, SUITE 100
SPRINGFIELD, MO 65804
Greene County (417) 887-3900
MS. KIMBERLY ANN RAMACCIOTTI PLPC
Counselor (Professional)
1531 E BRADFORD PKWY, SUITE 304
SPRINGFIELD, MO 65804
Greene County (417) 888-0861
MISSOURI EYE INSTITUTE LLC
Ophthalmology
1531 E BRADFORD PKWY, SUITE 100
SPRINGFIELD, MO 65804
Greene County (417) 887-3900
DR. GINGER A HOLCZER PSYD
Psychologist (Clinical)
1531 E BRADFORD PKWY, SUITE 202
SPRINGFIELD, MO 65804
Greene County (417) 890-1211
CREATIVE RENEWAL & RESOLUTIONS, LLC
Psychologist (Health Service)
1531 E BRADFORD PKWY, STE 210-4
SPRINGFIELD, MO 65804
Greene County (417) 890-4083
DR. CHAD L. CARTER O.D.
Optometrist
1531 E BRADFORD PKWY, SUITE 100
SPRINGFIELD, MO 65804
Greene County (417) 887-3900
REYNOLDS PLASTIC SURGERY LLC
Specialist
1531 E BRADFORD PKWY, SUITE 215
SPRINGFIELD, MO 65804
Greene County (417) 823-9777

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 David Black's NPI number?

The NPI number for David Black is 1386640159. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is David Black located?

David Black practices at 1531 E Bradford Pkwy Ste 210-4, Springfield, MO 65804. The listed phone number is (417) 890-4083.

What is David Black's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for David Black was last updated on April 21, 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.