BRUCE CHARLES BLACK M.D.
NPI 1770595217
Psychiatry & Neurology - Child & Adolescent Psychiatry in Wellesley, MA

NPI Status: Active since August 13, 2006

Contact Information

372 WASHINGTON ST
WELLESLEY, MA
ZIP 02481
Phone: (781) 239-3550
Fax: (781) 239-3272

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry

About BRUCE BLACK

This page provides the complete NPI Profile along with additional information for Bruce Black, a provider established in Wellesley, Massachusetts with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1770595217 assigned on August 2006. The practitioner's primary taxonomy code is 2084P0804X with license number 53793 (MA). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1770595217
Provider Name
BRUCE CHARLES BLACK M.D.
Gender
Male
Entity Type
Individual
Location Address
372 WASHINGTON ST WELLESLEY, MA 02481
Location Phone
(781) 239-3550
Location Fax
(781) 239-3272
Mailing Address
372 WASHINGTON ST WELLESLEY, MA 02481
Mailing Phone
(781) 239-3550
Mailing Fax
(781) 239-3272
Is Sole Proprietor?
No
Enumeration Date
08-13-2006
Last Update Date
01-15-2010
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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

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
53793
License State
MA
Taxonomy Description
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

53793 (MA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
B97786MEDICARE UPIN (02)MA 
053793OTHER (01)MATUFTS HEALTH PLAN
J04142MEDICARE ID-TYPE UNSPECIFIED (04)MA 
J04142OTHER (01)MABLUE CROSS OF MA

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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 1770595217, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
7
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 7 → 14 → 5 5 → 10 → 1 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 4 + 0 + 1 + 0 + 9 + 1 + 0 + 2 + 2 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1770595217.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychologist
372 WASHINGTON ST
WELLESLEY, MA 02481
Dentist (Oral and Maxillofacial Surgery)
372 WASHINGTON ST, SUITE 2500
WELLESLEY, MA 02481
Internal Medicine
372 WASHINGTON ST
WELLESLEY, MA 02481
Internal Medicine (Rheumatology)
372 WASHINGTON ST, THE MARINO FOUNDATION, CREDENTIALING OFFICE
WELLESLEY, MA 02481
Psychiatry & Neurology (Psychiatry)
372 WASHINGTON ST
WELLESLEY, MA 02481
Social Worker (Clinical)
372 WASHINGTON ST
WELLESLEY, MA 02481
Psychiatry & Neurology (Psychiatry)
372 WASHINGTON ST
WELLESLEY, MA 02481
Social Worker (Clinical)
372 WASHINGTON ST
WELLESLEY, MA 02481
Psychologist
372 WASHINGTON ST
WELLESLEY, MA 02481
Social Worker (Clinical)
372 WASHINGTON ST
WELLESLEY, MA 02481
Psychologist
372 WASHINGTON ST
WELLESLEY, MA 02481
Psychiatry & Neurology (Psychiatry)
372 WASHINGTON ST
WELLESLEY, MA 02481
Psychologist
372 WASHINGTON ST
WELLESLEY, MA 02481
Psychologist
372 WASHINGTON ST
WELLESLEY, MA 02481
Psychologist
372 WASHINGTON ST
WELLESLEY, MA 02481
Social Worker (Clinical)
372 WASHINGTON ST
WELLESLEY, MA 02481
Dentist (Prosthodontics)
372 WASHINGTON ST
WELLESLEY, MA 02481
Dentist (General Practice)
372 WASHINGTON ST
WELLESLEY, MA 02481
Family Medicine
372 WASHINGTON ST, MARINO CENTER FOR INTEGRATIVE HEALTH
WELLESLEY, MA 02481
Dentist (Oral and Maxillofacial Surgery)
372 WASHINGTON ST, SUITE 2500
WELLESLEY, MA 02481

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770595217, enumerated as an "individual" on August 13, 2006.

The provider is located at 372 WASHINGTON ST WELLESLEY, MA 02481 and the phone number is (781) 239-3550.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

The provider might be accepting Accepts: Medicare, Medicaid, Tufts Health Plan and Blue. Please consult your insurance carrier or call the provider to verify.