Provider Profile

Kelly Black, PMHNP-BC

Unclaimed Profile

About Kelly Black

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Specialty

Nurse Practitioner — Psychiatric/Mental Health (Primary)
Nurse Practitioner — Psychiatric/Mental Health (Additional)
Nurse Practitioner — Psychiatric/Mental Health (Additional)

Credentials & Licensing

AZ license305924
CA license56220
CA license95024873
NPI1912653536
NPI issued02/22/2022

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Kelly Black?

Kelly Black is a nurse practitioner in Mesa, AZ. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Psychiatric/Mental Health”.

NPI registry

What is Kelly Black's address?

Kelly Black is listed at 1910 S Stapley Dr Ste 120, Mesa, AZ 85204. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Kelly Black?

The number on file is (602) 341-3303. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Kelly Black's NPI number?

Kelly Black's National Provider Identifier is 1912653536. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Kelly Black been practicing?

Kelly Black has 4+ years experience. Registered with an NPI since 2022. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Kelly Black confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Kelly Black. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.