Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black Foundation

Organization Psychologist · NPI 1376848572

Black Foundation is a Psychologist in Los Angeles, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011

Practice location Address checks out

4571 W Washington Blvd
Los Angeles, CA 90016-1717
Phone: (323) 931-3211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence ADP190249AN (CA)

Record details

NPI number1376848572
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Bridges — Ceo · (310) 210-0996
NPI enumeratedJanuary 19, 2011
Last updated in NPPESJanuary 19, 2011
Mailing address450 E Silverado Ranch Blvd # 200, Las Vegas, NV 89183-6203

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