DR. SHANNON L BLACK PH.D
NPI 1679595300
Psychologist - Clinical in Lincoln, NE

Q: What is Shannon Black's NPI number?

The NPI number for Shannon Black is 1679595300. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Q: What is Shannon Black's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon 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 July 24, 2006

6120 HAVELOCK AVE, SUITE B, LINCOLN, NE 68507(402) 432-0745 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Shannon L Black Ph.d NPPES

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

DR. SHANNON L BLACK PH.D (NPI 1679595300) is an individual clinical provider in Lincoln, Nebraska, licensed in Nebraska (422) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1679595300

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SHANNON L BLACKCredential: PH.D

Location Address6120 HAVELOCK AVE, SUITE BLincoln, NE 68507-1278

Mailing Address4949 Ashland Road, Po Box 533Ceresco, NE 68017 · (402) 432-0745

Phone(402) 432-0745

Sole ProprietorYes

Enumeration DateJuly 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1679595300 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 NE · 422

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.

6120 HAVELOCK AVE, Lincoln, NE 68507

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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 Shannon Black's NPI number?

The NPI number for Shannon Black is 1679595300. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Shannon Black located?

Shannon Black practices at 6120 Havelock Ave Suite B, Lincoln, NE 68507. The listed phone number is (402) 432-0745.

What is Shannon Black's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon 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.