IndividualActive
Amelia Black, PH.D., CGP
NPI 1770192379 · Psychologist · Las Vegas, NV
Provider details
- NPI number
- 1770192379
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., CGP
- Sex
- Female
- Sole proprietor
- Yes
- License
- PY0928 (NV)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
Ceb 226 4505 S. Maryland Pkwy
Box #453033
Las Vegas, NV 89154
Phone: (702) 895-1532
Approximate (ZIP-level) locationGet directions
Mailing address
Ceb 226 4505 S. Maryland Pkwy
Las Vegas, NV 89154
Additional practice locations (1)
- 2460 Paseo Verde Pkwy Ste 100Henderson, NV 89074-7136Phone: (702) 508-9181
Registry dates
- Enumerated
- 2020-07-29
- Last updated
- 2021-08-02
- Certified
- 2021-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.