Organization Active NPI

Hugh M . and Mary Grace Black

  • Clinical Psychologist
  • Helena, MT
National Provider Identifier
1295921583
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
133 Issued in MT
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

Updated by the provider on Sep 20, 2007

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 133 MT Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0500357MedicaidMT
0490438MedicaidMT

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.