DR. AMELIA BLACK PH.D., CGP
NPI 1770192379
Psychologist in Las Vegas, NV
NPI Status: Active since July 29, 2020
Contact Information
CEB 226 4505 S. MARYLAND PKWY
BOX #453033
LAS VEGAS, NV
ZIP 89154
Phone: (702) 895-1532
- Individual
- Female
- Psychologist
- Opted-Out Medicare
About AMELIA BLACK
This page provides the complete NPI Profile along with additional information for Amelia Black, a provider established in Las Vegas, Nevada with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1770192379 assigned on July 2020. The practitioner's primary taxonomy code is 103T00000X with license number PY0928 (NV). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1770192379
- Provider Name
- DR. AMELIA BLACK PH.D., CGP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- CEB 226 4505 S. MARYLAND PKWY BOX #453033 LAS VEGAS, NV 89154
- Location Phone
- (702) 895-1532
- Mailing Address
- CEB 226 4505 S. MARYLAND PKWY BOX #453033 LAS VEGAS, NV 89154
- Mailing Phone
- (702) 895-1532
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-29-2020
- Last Update Date
- 08-02-2021
- Code Navigator
A psychologist like Amelia Black studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Amelia Black opted out of Medicare effective on 09-15-2020 until 09-15-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 2460 Paseo Verde Pkwy Ste 100
Henderson, NV 89074
(702) 508-9181
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PY0928
- License State
- NV
- Taxonomy Description
- A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 09-15-2020
Opt-Out End Date: 09-15-2026
Eligible to Order and Refer? No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1770192379, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770192379, enumerated as an "individual" on July 29, 2020.
The provider is located at CEB 226 4505 S. MARYLAND PKWY BOX #453033 LAS VEGAS, NV 89154 and the phone number is (702) 895-1532.
Psychologist with taxonomy code 103T00000X.
