Chelsea Black, PHD - in Philadelphia, PA

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.

Contact Information

Chelsea Black, PHD
3405 Civic Center Blvd Rm 107,
Philadelphia, PA 19104-4319
(215) 590-7711
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameChelsea Black
GenderFemale
SpecialityClinical Neuropsychologist
Location3405 Civic Center Blvd Rm 107, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1023463106NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Secondary
103G00000XClinical 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 AddressPractice 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



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