DR. AMELIA BLACK PH.D., CGP
NPI 1770192379
Psychologist in Las Vegas, NV
About Dr. Amelia Black Ph.d., Cgp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMELIA BLACK PH.D., CGP (NPI 1770192379) is an individual psychologist in Las Vegas, Nevada, licensed in Nevada (PY0928) and active in the NPI registry since July 2020. She has opted out of Medicare through September 15, 2026 and maintains a secondary practice location in Henderson.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. Amelia Black Ph.d., Cgp 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 September 15, 2020 through September 15, 2026.
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 Amelia Black's NPI number?
The NPI number for Amelia Black is 1770192379. It was assigned to this individual provider in the NPPES registry on July 29, 2020.
Where is Amelia Black located?
Amelia Black practices at Ceb 226 4505 S. Maryland Pkwy Box #453033, Las Vegas, NV 89154. The listed phone number is (702) 895-1532.
What is Amelia Black's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Amelia Black enrolled in Medicare?
No. Amelia Black has opted out of Medicare through September 15, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Amelia Black was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.