What is Jacy Black's NPI number?

Jacy Black's National Provider Identifier (NPI) is 1104531615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jacy Black's specialty?

Jacy Black is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).

Where is Jacy Black located?

Jacy Black's practice location on file with NPPES is 200 W Santa Ana Blvd Ste 801, Santa Ana, CA 92701-4134.

What is Jacy Black's phone number?

The practice phone number listed in the NPPES registry for Jacy Black is (714) 704-5900.

Is Jacy Black's NPI active?

Yes — Jacy Black's NPI (1104531615) is active in the NPPES registry as of the last update on 2025-09-10.

IndividualActive

Jacy Black

NPI 1104531615 · Psychologist · Santa Ana, CA

Jacy Black is a Psychologist provider in Santa Ana, CA (NPI 1104531615).

Provider details

NPI number: 1104531615
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

PsychologistPrimary103T00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(52/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
83% 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

200 W Santa Ana Blvd Ste 801

Santa Ana, CA 92701-4134

Phone: (714) 704-5900

Street-level locationGet directions

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Mailing address