DR. AMELIA BLACK PH.D., CGP
NPI 1770192379
Psychologist in Las Vegas, NV

Active since July 29, 2020
CEB 226 4505 S. MARYLAND PKWY, BOX #453033, LAS VEGAS, NV 89154(702) 895-1532 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 2, 2021, Jul 29, 2020 (2 updates tracked since 2020).

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 maintains a secondary practice location in Henderson.

NPPES Registry Identity

NPI1770192379
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. AMELIA BLACKCredential: PH.D., CGP
Location AddressCEB 226 4505 S. MARYLAND PKWY, BOX #453033Las Vegas, NV 89154
Mailing AddressCeb 226 4505 S. Maryland Pkwy, Box #453033Las Vegas, NV 89154 · (702) 895-1532
Sole ProprietorYes
Enumeration DateJuly 29, 2020
Last NPPES UpdateAugust 2, 20212 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
✔ NPI 1770192379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NV · PY0928
Definition
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.
CEB 226 4505 S. MARYLAND PKWY, Las Vegas, NV 89154

Secondary Practice Location 1

Location 12460 Paseo Verde Pkwy Ste 100Henderson, NV 89074-7136 · Phone (702) 508-9181

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.

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.