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

Kelly Black, PMHNP-BC

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1912653536

Kelly Black, PMHNP-BC is a Psychiatric/Mental Health Registered Nurse in Mesa, Arizona. Works from 2 locations. Licensed in Arizona and California.

Licensed in
AZ, CA
In the registry since
2022
Specialties on file
3
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1910 S Stapley Dr Ste 120
Mesa, AZ 85204-6676
Phone: (602) 341-3303
Show map & directions

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

Additional practice locations (1)

  • 32205 Snyder Ln, Homeland, CA 92548-9600 — (951) 623-7194

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95024873 (CA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 56220 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 305924 (AZ)

Record details

NPI number1912653536
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedFebruary 22, 2022
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025

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