JONATHAN REID BLACK MD
NPI 1710564539
Psychiatry & Neurology - Psychiatry in Birmingham, AL

Q: What is Jonathan Black's NPI number?

The NPI number for Jonathan Black is 1710564539. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Q: What is Jonathan Black's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jonathan Black was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 March 26, 2021PECOS Enrolled

619 19TH ST S, BIRMINGHAM, AL 35233(205) 934-4011 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 9, 2025, Mar 26, 2021 (2 updates tracked since 2021).

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About Jonathan Reid Black Md NPPES

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

JONATHAN REID BLACK MD (NPI 1710564539) is an individual psychiatry provider in Birmingham, Alabama, licensed in Alabama (45256) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of University Of Mississippi School Of Medicine (2021).

NPPES Registry Identity

NPI1710564539

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameJONATHAN REID BLACKCredential: MD

Location Address619 19TH ST SBirmingham, AL 35233-1900

Mailing AddressPo Box 55310Birmingham, AL 35255-5310

Phone(205) 934-4011

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2021

Enumeration DateMarch 26, 2021

Last NPPES UpdateJune 26, 20262 updates tracked since enumeration

NPPES CertifiedJune 26, 2026

✔ NPI 1710564539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in AL · 45256

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.

Also ListedPsychiatry & Neurology · Psychosomatic MedicineTaxonomy 2084P0015X · License 335155 (NY)

619 19TH ST S, Birmingham, AL 35233

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Secondary Practice Location 1

Location 1622 W 168th StNew York, NY 10032-3720 · Phone (646) 951-1086

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Reid Black Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466851050

PECOS Enrollment IDI20260623001761

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 35233 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

$161.63 typical visit price

range $52.65 – $161.63

Typical copayment $40.40 (range $13.16 – $40.40)

Most-billed visit code 99205

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

Most-billed visit code 99213

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.

SASHA KAISER MD

Emergency Medicine (Medical Toxicology)