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

Robert Black, PHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568700904

Robert Black, PHD is a Clinical Psychologist in Elk Grove, California. Qualified in 2021, 5 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2013
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

9412 Big Horn Blvd
Elk Grove, CA 95758-1101
Phone: (916) 226-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1568700904
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 18, 2013
Last updated in NPPESFebruary 25, 2021
Certification dateFebruary 25, 2021
Mailing address9412 Big Horn Blvd, Elk Grove, CA 95758-1101

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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