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

Samuel Harvil Black

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1497621577

Samuel Harvil Black is a Psychiatric/Mental Health Registered Nurse in Toledo, Ohio. Licensed in Ohio. Registered with an NPI since 2025.

Licensed in
OH
In the registry since
2025

Practice location Address checks out

1425 Starr Ave
Toledo, OH 43605-2456
Phone: (419) 693-0631
Fax: (419) 936-7606
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence RN.310483 (OH)

Record details

NPI number1497621577
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 15, 2025
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing address1425 Starr Ave, Toledo, OH 43605-2456

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