Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

CHADD MYKELL BLACK
NPI 1437076205
Counselor - Professional in Folsom, CA

Active since July 02, 2026
159 APEX LOOP FOLSOM APT. 203, FOLSOM, CA 95630(559) 410-5478 Get Directions Write a Review

NPPES record added: July 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chadd Mykell Black NPPES

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

CHADD MYKELL BLACK (NPI 1437076205) is an individual professional provider in Folsom, California, licensed in California (19619) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1437076205
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCHADD MYKELL BLACK
Location Address159 APEX LOOP FOLSOM APT. 203Folsom, CA 95630
Mailing Address159 Apex Loop Folsom Apt. 203Folsom, CA 95630 · (559) 410-5478
Sole ProprietorYes
Enumeration DateJuly 2, 2026
NPPES CertifiedJune 10, 2026
NPI 1437076205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CA · 19619
159 APEX LOOP FOLSOM APT. 203, Folsom, CA 95630

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Chadd Black's NPI number?

The NPI number for Chadd Black is 1437076205. It was assigned to this individual provider in the NPPES registry on July 2, 2026.

Where is Chadd Black located?

Chadd Black practices at 159 Apex Loop Folsom Apt. 203, Folsom, CA 95630. The listed phone number is (559) 410-5478.

What is Chadd Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Chadd Black was last updated on July 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.