Active NPI
Hugh M . and Mary Grace Black
- Clinical Psychologist
- Helena, MT
National Provider Identifier
1295921583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 133
- Legal business name
- HUGH M . AND MARY GRACE BLACK
- Practice address
- 48 Medical Park Dr
Helena, MT 59601-4925 - Phone
- (406) 449-3880
- Fax
- (406) 442-6935
- NPI assigned
- Sep 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hugh M. Black
- Title
- Partner
- Phone
- (406) 449-3880
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 133 | MT | Primary |
| Clinical Social Worker | 1041C0700X | 31 | MT |
Addresses
Primary practice location
48 Medical Park Dr
Helena, MT 59601-4925
Mailing address
48 Medical Park Dr
Helena, MT 59601-4925
Phone (406) 449-3880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0500357 | Medicaid | MT | |
| 0490438 | Medicaid | MT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190246400000",
"number": "1295921583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 MEDICAL PARK DR",
"city": "HELENA",
"state": "MT",
"postal_code": "596014925",
"telephone_number": "406-449-3880",
"fax_number": "406-442-6935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 MEDICAL PARK DR",
"city": "HELENA",
"state": "MT",
"postal_code": "596014925",
"telephone_number": "406-449-3880",
"fax_number": "406-442-6935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUGH M . AND MARY GRACE BLACK",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-20",
"last_updated": "2007-09-20",
"status": "A",
"authorized_official_last_name": "BLACK",
"authorized_official_first_name": "HUGH",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "406-449-3880",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MT",
"license": "133",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "31",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0500357",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0490438",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.