Mitzen Black, PSYD
NPI 1467633735 · Clinical Psychologist · Los Angeles, CA
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mitzen Black, PSYD is a Clinical Psychologist provider in Los Angeles, CA (NPI 1467633735).
Provider details
- NPI number
- 1467633735
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- No
- License
- 30574 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 769 N Orange Grove BlvdPasadena, CA 91103-3331Phone: (818) 386-1209
- 6627 Valjean AveVan Nuys, CA 91406-5817Phone: (818) 386-1209
Registry dates
- Enumerated
- 2007-11-15
- Last updated
- 2020-10-26
- Certified
- 2020-10-26
Frequently asked questions
- What is Mitzen Black's NPI number?
- Mitzen Black's National Provider Identifier (NPI) is 1467633735, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mitzen Black's specialty?
- Mitzen Black is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Mitzen Black located?
- Mitzen Black's practice location on file with NPPES is 1625 Schrader Blvd, Los Angeles, CA 90028-6213.
- What is Mitzen Black's phone number?
- The practice phone number listed in the NPPES registry for Mitzen Black is (323) 993-7500.
- Does Mitzen Black accept Medicare?
- Mitzen Black is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mitzen Black's NPI active?
- Yes — Mitzen Black's NPI (1467633735) is active in the NPPES registry as of the last update on 2020-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.