DR. BRENDA POLLARA BLACK PH.D.
NPI 1578619201
Psychologist - Clinical in Hingham, MA

Q: What is Brenda Black's NPI number?

The NPI number for Brenda Black is 1578619201. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Q: What is Brenda Black's specialty?

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

Q: Is Brenda Black enrolled in Medicare?

No. Brenda Black has opted out of Medicare through February 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Brenda 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.

Active since January 26, 2007Opted out of Medicare · through Feb 22, 2027

12 WHITCOMB AVE, HINGHAM, MA 02043(781) 740-1128(781) 740-1320 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Brenda Pollara Black Ph.d. NPPES

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

DR. BRENDA POLLARA BLACK PH.D. (NPI 1578619201) is an individual clinical provider in Hingham, Massachusetts, licensed in Massachusetts (4444) and active in the NPI registry since January 2007. She has opted out of Medicare through February 22, 2027.

NPPES Registry Identity

NPI1578619201

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. BRENDA POLLARA BLACKCredential: PH.D.

Location Address12 WHITCOMB AVEHingham, MA 02043-3385

Mailing Address12 Whitcomb AveHingham, MA 02043-3385 · (781) 740-1128 · Fax (781) 740-1320

Phone(781) 740-1128

Fax(781) 740-1320

Sole ProprietorYes

Enumeration DateJanuary 26, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1578619201 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 MA · 4444

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.

12 WHITCOMB AVE, Hingham, MA 02043

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Brenda Pollara Black Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 22, 2021 through February 22, 2027.

Opt-Out Effective DateFebruary 22, 2021

Opt-Out In Effect ThroughFebruary 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Brenda Black's NPI number?

The NPI number for Brenda Black is 1578619201. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Brenda Black located?

Brenda Black practices at 12 Whitcomb Ave, Hingham, MA 02043. The listed phone number is (781) 740-1128.

What is Brenda Black's specialty?

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

Is Brenda Black enrolled in Medicare?

No. Brenda Black has opted out of Medicare through February 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Brenda Black accept?

Health plans from Anthem Blue Cross and Blue Shield list Brenda 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 Brenda 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.