Mr James C Black, MA CLINICAL PSY is a
Psychologist - Clinical Child & Adolescent based in Hamlet, North Carolina. Mr James C Black is licensed to practice in North Carolina (license number 1119) and his current practice location is
815 W Hamlet Ave, Hamlet, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(910) 582-7046.
NPI number for Mr James C Black is 1790803674 and his current mailing address is 815 W Hamlet Ave, Hamlet, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790803674.
Healthcare Provider's Profile
| Full Name | Mr James C Black |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
|---|
| Location | 815 W Hamlet Ave, Hamlet, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790803674
- Provider Enumeration Date: 03/27/2007
- Last Update Date: 01/05/2010
Medical Identifiers
Medical identifiers for Mr James C Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790803674 | NPI | - | NPPES |
| 046NJ | Other | NC | BLUECROSS BLUESHIELD |
| 3403400 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 1119 (North Carolina) | Primary |
| 106H00000X | Marriage & Family Therapist | 0762 (South Carolina) | Secondary |
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. Mr James C 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 |
Mr James C Black, MA CLINICAL PSY 815 W Hamlet Ave, Hamlet, NC 28345-2507 Ph: (910) 582-7046 | Mr James C Black, MA CLINICAL PSY 815 W Hamlet Ave, Hamlet, NC 28345-2507 Ph: (910) 582-7046 |
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