ROBERT WILLIAM BLACK
Counselor

Address: 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550

ROBERT WILLIAM BLACK (NPI# 1003373713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003373713
Entity Type Individual
Full Name ROBERT WILLIAM BLACK
Gender Male
Credential APPC 8336
Practice Address 995 Gateway Center Way Ste 300
San Diego
CA 92102-4550
Practice Telephone 6193982156
Mailing Address 995 Gateway Center Way Ste 300
San Diego
CA 92102-4550
Mailing Telephone 6193982156
Certification Date 2020-09-24
Enumeration Date 2019-02-28
Last Update Date 2020-09-24
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
APCC8336 CA Behavioral Health & Social Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Locations

Address Telephone Number Fax Number
2865 Logan Ave, San Diego, CA 921132411 6192324357
995 Gateway Center Way Ste 300, San Diego, CA 921024550 6193982156

Office Location

Street Address 995 GATEWAY CENTER WAY STE 300
City SAN DIEGO
State CA
Zip Code 92102-4550

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356922009 Tanya Sue Lutz Counselor - Addiction (Substance Use Disorder) 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 2021-04-15
1902404213 Amber Vazquez Behavior Technician 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 2020-10-09
1477183457 Elijah Torres Counselor - Mental Health 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 2020-01-18
1639752314 Alanna Inka Simmons Student in an Organized Health Care Education/Training Program 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 2021-04-30
1285229666 Koodrut Panesar Counselor - Mental Health 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 2021-03-07
1801485370 Courtney Michelle Roebuck Peer Specialist 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 2021-01-11
1871188870 Christopher Armstrong Cather Peer Specialist 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 2021-03-02
1174149736 Heidi Anthony Counselor - Mental Health 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 2020-06-19
1639756398 Kourtney Marie Cox Licensed Vocational Nurse 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 2021-03-26
1104413855 Jessica Villalobos Student in an Organized Health Care Education/Training Program 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 2020-12-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093780017 Dva Renal Healthcare Inc · San Diego South Dialysis Clinic/Center - End-Stage Renal Disease (ESRD) Treatment 995 Gateway Center Way, Ste 101, San Diego, CA 92102-4550 2006-02-22

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1023103595 County of San Diego Exclusive Provider Organization 1110 Carolina Lane, San Diego, CA 92102 2006-10-03
1871989913 Abraham Greenberg Pediatrics 15 Balfour Street, Jerusalem, ISRAEL 92102 2015-04-15
1649745712 Juliet Lao Kurek Pharmacist 2121 Imperial Avenue, San Diego, CA 92102 2018-10-04
1194372748 Rosa L Wilson Counselor - Addiction (Substance Use Disorder) 2970 Market Street, San Diego, CA 92102 2019-08-19
1356463954 Telecare San Diego Reach Case Management 446 26th 6th Floor, San Diego, CA 92102 2007-04-04
1750408993 William Mcclintic Noel Psychologist - Clinical 2630 B Street, San Diego, CA 92102 2007-03-23
1023421021 Elmira Aghdam Chiropractor 5030 Bonita Rd Ste#b, Bonita, CA 92102 2014-06-06
1437766698 Daniela Tablas Behavioral Analyst 303 47th St Spc D-22, San Diego, CA 92102 2020-09-30
1730404096 Elvynn Oropilla Marriage & Family Therapist 1031 25th Street, San Diego, CA 92102 2010-03-30
1134508179 Jonathan Waters Physician Assistant - Medical 1233 22nd Street, Unit 8, San Diego, CA 92102 2015-05-22
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689259806 Nathaly Jacqueline Ruiz Counselor 6560 Montezuma Rd Apt 305, San Diego, CA 92115-2819 2021-03-10
1760081376 Annel Vianey Orduno Counselor 3517 Camino Del Rio South Suite 407, San Diego, CA 92108-4026 2020-10-23
1689280422 Jason Vince Rather Counselor 333 Ledgewood Lane, San Diego, San Diego, CA 92114 2020-09-17
1851903751 Shawn M Sta Ines Counselor 8775 Aero Dr Ste 230, San Diego, CA 92123-1779 2020-08-20
1821607599 Tara Oneil Counselor 2383 Jefferson St Unit 3, San Diego, CA 92110-3007 2020-07-28
1881212520 Ureclaim Therapy Counselor 6331 Nancy Ridge Dr # 209, San Diego, CA 92121-6204 2020-07-09
1407480726 Autumn Weidman Counselor 2930 Cowley Way Unit 303, San Diego, CA 92117-6859 2020-02-25
1073153714 Jennifer Lynn Martinez · Jenifer Lynn Martinez Counselor 3517 Camino Del Rio S Ste 407, San Diego, CA 92108-4028 2020-01-10
1881233708 Ramin Movafaghi Counselor 3737 Murphy Canyon Rd, San Diego, CA 92123-4454 2019-12-23
1316595739 Ashley Champa Counselor 7954 Dagget St, San Diego, CA 92111-2306 2019-08-28
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Competitor

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City SAN DIEGO
Zip Code 92102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.