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DR. MARY ELLEN BLACK M.D.
NPI 1528264207
Psychiatry & Neurology - Psychiatry in Corvallis, OR

Active since June 21, 2007
3509 NW SAMARITAN DR, CORVALLIS, OR 97330(541) 768-5235(541) 768-5201 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Ellen Black M.d. NPPES

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

DR. MARY ELLEN BLACK M.D. (NPI 1528264207) is an individual psychiatry provider in Corvallis, Oregon, licensed in Oregon (MD25360) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1528264207
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MARY ELLEN BLACKCredential: M.D.
Location Address3509 NW SAMARITAN DRCorvallis, OR 97330-3766
Mailing Address3509 Nw Samaritan DrCorvallis, OR 97330-3766 · (541) 768-5235 · Fax (541) 768-5201
Phone(541) 768-5235
Fax(541) 768-5201
Sole ProprietorNo
Enumeration DateJune 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1528264207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in OR · MD25360
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3509 NW SAMARITAN DR, Corvallis, OR 97330
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Other Identifiers 3

Medicare UPINA36814
Medicare ID-Type Unspecified130270
Medicaid022804OR

Other Providers at the Same Location NPPES 18

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

GOOD SAMIRTAN REGIONAL MEDICAL CENTER
Psychiatric Hospital
3509 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-6794
DR. LUIZA GABRIELA MARINESCU DNP
Nurse Practitioner (Psychiatric/Mental Health)
3509 NW SAMARITAN DR, SUITE 215
CORVALLIS, OR 97330
Benton County (541) 768-5201
GOOD SAMARITAN REGIONAL MEDICAL CENTER
Psychiatric Hospital
3509 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-6833
DR. JOHN PAUL KAESERMANN ND, LAC, MSAOM
Naturopath
3509 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-6412
MS. VALERIE J. DOUGHER LCWS
Social Worker (Clinical)
3509 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-5235
HILLARY LAUREN ROSE CSWA
Social Worker (Clinical)
3509 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-5000
MS. ABBY TERRIS LPC
Social Worker
3509 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-6412
MS. LINDA HM GELBRICH LCSW
Social Worker (Clinical)
3509 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-6412

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 Mary Black's NPI number?

The NPI number for Mary Black is 1528264207. It was assigned to this individual provider in the NPPES registry on June 21, 2007.

Where is Mary Black located?

Mary Black practices at 3509 NW Samaritan Dr, Corvallis, OR 97330. The listed phone number is (541) 768-5235.

What is Mary Black's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Mary Black was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.