Chelsea Black, PHD is a
Clinical Neuropsychologist based in Philadelphia, Pennsylvania. Chelsea Black is licensed to practice in Pennsylvania (license number PS018498) and her current practice location is
3405 Civic Center Blvd Rm 107, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(215) 590-7711.
NPI number for Chelsea Black is 1023463106 and her current mailing address is 3405 Civic Center Blvd Rm 107, Philadelphia, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023463106.
Healthcare Provider's Profile
Full Name | Chelsea Black |
---|
Gender | Female |
---|
Speciality | Clinical Neuropsychologist |
---|
Location | 3405 Civic Center Blvd Rm 107, Philadelphia, Pennsylvania |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023463106
- Provider Enumeration Date: 04/26/2016
- Last Update Date: 10/23/2018
Medical Identifiers
Medical identifiers for Chelsea Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023463106 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | (* (Not Available)) | Secondary |
103G00000X | Clinical Neuropsychologist | PS018498 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chelsea Black is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Chelsea Black, PHD 3405 Civic Center Blvd Rm 107, Philadelphia, PA 19104-4319 Ph: (215) 590-7711 | Chelsea Black, PHD 3405 Civic Center Blvd Rm 107, Philadelphia, PA 19104-4319 Ph: (215) 590-7711 |
Reviews and Comments