Lisa Myers Black, PH.D., PLLC

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

1038 Issued in OK

Legal business name

LISA MYERS BLACK, PH.D., PLLC

Practice address

4003 24TH Ave NE
Norman, OK 73071-7749

Phone

(405) 573-4019

Fax

(405) 573-4074

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Myers Black, PH.D.

Title

Health Service Psychologist

Phone

(405) 573-4019

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alternative Behavioral Health Solutions Doing business as

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1942403019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 24TH AVE NE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730717749",
            "telephone_number": "405-573-4019",
            "fax_number": "405-573-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 24TH AVE NE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730717749",
            "telephone_number": "405-573-4019",
            "fax_number": "405-573-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA MYERS BLACK, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MYERS",
        "authorized_official_title_or_position": "HEALTH SERVICE PSYCHOLOGIST",
        "authorized_official_telephone_number": "405-573-4019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": "OK",
            "license": "1038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200111280A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alternative Behavioral Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Ann Linford
• Shelby Linford, PTA
• Leah Rebecca Linton
• Kayla Lipkeman
• Lisa B Connery MD PLLC
• Lisa R. Waterman, D.O., P.C.
• Casey Ray Liston, D.O.
• Elizabeth Ashley Litov
• Little Axe Public Schools
• Living Hope Eating Disorder Treatment Center, PLLC

• Health Service Psychologist in Norman, OK
• Providers in Norman, OK by specialty
• Health Service Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.