Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mikal Ashley Hicks-Black, DO

Individual provider Psychiatry Physician · NPI 1427472299

Mikal Ashley Hicks-Black, DO is a Psychiatry Physician in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2014
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4200 Monument Rd
Philadelphia, PA 19131-1625
Phone: (215) 581-3701
Fax: (215) 581-3993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence OT015506 (PA)

Record details

NPI number1427472299
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedFebruary 13, 2014
Last updated in NPPESFebruary 11, 2020
Certification dateFebruary 11, 2020

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