Jessica J Black, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS017812 Issued in PA

Practice address

225 Humphrey Rd Ste 4
Greensburg, PA 15601-4571

Phone

(724) 832-9096

Fax

(724) 832-2249

NPI assigned

Mar 9, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jessica Jan Black-Leigey Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oldenburg Psychological Services Inc

  • Psychologist
  • Greensburg, PA
  • NPI 1982027603
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1851894547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HUMPHREY RD STE 4",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014571",
            "telephone_number": "724-832-9096",
            "fax_number": "724-832-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HUMPHREY RD STE 4",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014571",
            "telephone_number": "724-832-9096",
            "fax_number": "724-832-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JESSICA",
        "middle_name": "J",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF PENNSYLVANIA DEPT. OF STATE",
            "identifier": "PS017812",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BLACK-LEIGEY",
            "middle_name": "JAN",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bitner Counseling, LLC
• Amy Bittner, PTA
• Linda J. Bizzak, P.A.
• April Black
• Hailey Sue Black
• Blackburn Center Against Domestic & Sexual Violence
• Amber Blair, MSW, LSW, MT-BC
• Jacqueline M Blankenship, LPC, ATR
• Holly Rene Blazowich, RN
• Lara H Blosser, PA-C

• Clinical Psychologist in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.