IndividualActive
Mary Black, PH.D.
NPI 1093289803 · Clinical Psychologist · University, MS
Mary Black, PH.D. is a Clinical Psychologist provider in University, MS (NPI 1093289803).
Provider details
- NPI number
- 1093289803
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 581026 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
320 Lester Hall
University, MS 38677
Phone: (901) 826-3644
Approximate (ZIP-level) locationGet directions
Mailing address
86 Tuscan Hills Dr
Oxford, MS 38655-9269
Registry dates
- Enumerated
- 2019-01-15
- Last updated
- 2019-01-15
Frequently asked questions
- What is Mary Black's NPI number?
- Mary Black's National Provider Identifier (NPI) is 1093289803, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Black's specialty?
- Mary Black is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Mary Black located?
- Mary Black's practice location on file with NPPES is 320 Lester Hall, University, MS 38677.
- What is Mary Black's phone number?
- The practice phone number listed in the NPPES registry for Mary Black is (901) 826-3644.
- Is Mary Black's NPI active?
- Yes — Mary Black's NPI (1093289803) is active in the NPPES registry as of the last update on 2019-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.