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

Dr. Jonathan R Black, PSYD

Individual provider Clinical Psychologist · NPI 1144521501

Dr. Jonathan R Black, PSYD is a Clinical Psychologist in Boca Raton, Florida. Qualified in 2008, 18 years ago. Practices with Senior Living Memory Health Inc, a 111-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
18
Licensed in
FL
In the registry since
2010
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2290 NW 2nd Ave Ste 7
Boca Raton, FL 33431-7457
Phone: (561) 706-1004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY8145 (FL)

Record details

NPI number1144521501
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedNovember 16, 2010
Last updated in NPPESJuly 29, 2014
Mailing address7546 Oakboro Dr, Lake Worth, FL 33467-7504

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Senior Living Memory Health Inc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations18 on file with Medicare

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