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Dr. Michael David Black , PhD

Psychologist β€’ Topeka, KS

Active NPI 1093852063 Individual Practitioner Male Practitioner
Practice location in NPPES

2200 Sw Gage Blvd
Topeka, KS 666220001

Call 7855501903 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2200 Sw Gage Blvd

Topeka, KS 666220001

Telephone 7855501903
Organization at the Same NPPES Address or Phone
Kansas City Vamc Facility NPI 1306894514

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Topeka and Kansas

61 active clinicians are listed under Psychologist with a practice address in Topeka, KS (600 in Kansas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Topeka

13.1% of these 61 clinicians have the CMS telehealth indicator.

19.7% of these 61 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-08-13
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kansas State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

20 listed
NPI 1275592784

Doctor of Medicine (M.D.)

Michael Beffa , PA-C

Physician Assistant

NPI 1942460928

Physician Assistant (Certified)

Dr. Ethan Bickelhaupt , MD

Psychiatry & Neurology - Psychiatry

NPI 1760427389

Doctor of Medicine (M.D.)

Dr. Allison Blough , MD, MSW

Physical Medicine & Rehabilitation

NPI 1669668364

Doctor of Medicine (M.D.), Master of Social Work

Laura Cooper , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1851024319

Nurse Practitioner

Dr. Sara Fearn , MD

Family Medicine

NPI 1144586967

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Business Mailing Address August 13, 2020

Registered at 2200 SW GAGE BLVD, TOPEKA, KS 666220001 (Tel: 7853503111)

πŸ“
Updated Practice Location May 04, 2020

Registered at 2200 SW GAGE BLVD, TOPEKA, KS 666220001 (Tel: 7855501903)

πŸ“
Updated Business Mailing Address May 04, 2020

Registered at 3900 W 13TH ST, LAWRENCE, KS 660493514 (Tel: 7855501903)

βœ…
NPI Profile Active February 08, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 08, 2016

Registered at DWIGHT D. EISENHOWER VA MEDICAL CENTER, 4101 SOUTH 4TH STREET TRAFFICWAY, LEAVENWORTH, KS 66048 (Tel: 8009528387)

πŸ“
Business Mailing Address (Initial Record) February 08, 2016

Registered at 2013 ATCHISON AVE, LAWRENCE, KS 660472314 (Tel: 7855501903)

πŸ‘€
Provider Name / Credentials (Initial Record) February 08, 2016

Recorded as MICHAEL BLACK, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2016

Psychologist

🟒
Initial NPI Registration & Enumeration January 31, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093852063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2007
Last Update: August 13, 2020
Sole Proprietor: No

Other Psychologists in Topeka

All Psychologists in Topeka

Mailing Address

2200 Sw Gage Blvd

Topeka, KS 666220001

Phone: 7853503111

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.