LAURIE ANN BLACK PH.D.
NPI 1508393968
Psychologist - Clinical in Tampa, FL

Active since May 16, 2017PECOS Enrolled
3250 ZEMKE AVE, TAMPA, FL 33621(813) 827-9170 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2022, Jan 4, 2021, Jun 22, 2018 and 1 more (4 updates tracked since 2017).

About Laurie Ann Black Ph.d. NPPES

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

LAURIE ANN BLACK PH.D. (NPI 1508393968) is an individual clinical provider in Tampa, Florida, licensed in Florida (PY9834) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508393968
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLAURIE ANN BLACKCredential: PH.D.
Location Address3250 ZEMKE AVETampa, FL 33621-5023
Mailing Address3250 Zemke AveTampa, FL 33621-5023 · (813) 827-9170
Sole ProprietorNo
Enumeration DateMay 16, 2017
Last NPPES UpdateDecember 20, 20224 updates tracked since enumeration
NPPES CertifiedDecember 20, 2022
NPI 1508393968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in FL · PY9834
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3250 ZEMKE AVE, Tampa, FL 33621

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)

Laurie Ann 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Physical Therapist
3250 ZEMKE AVE
TAMPA, FL 33621
Physical Medicine & Rehabilitation (Sports Medicine)
3250 ZEMKE AVE, 6TH MEDICAL GROUP
MACDILL AFB, FL 33621
Psychologist (Clinical)
3250 ZEMKE AVE
TAMPA, FL 33621
Family Medicine
3250 ZEMKE AVE
TAMPA, FL 33621
Family Medicine
3250 ZEMKE AVE
TAMPA, FL 33621
Dentist (Periodontics)
3250 ZEMKE AVE
TAMPA, FL 33621
Military Health Care Provider (Independent Duty Medical Technicians)
3250 ZEMKE AVE
TAMPA, FL 33621
Nurse Practitioner
3250 ZEMKE AVE
TAMPA, FL 33621

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 Laurie Black's NPI number?

The NPI number for Laurie Black is 1508393968. It was assigned to this individual provider in the NPPES registry on May 16, 2017.

Where is Laurie Black located?

Laurie Black practices at 3250 Zemke Ave, Tampa, FL 33621. The listed phone number is (813) 827-9170.

What is Laurie Black's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Laurie Black enrolled in Medicare?

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

What insurance does Laurie Black accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Laurie 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 Laurie Black was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.