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

Tempestt Black

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1649728528

Tempestt Black is a Nurse Practitioner in New York, New York. Qualified in 2020, 6 years ago. Practices with Psychiatric Nurse Practitioner PC, a 42-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts, New York and Washington.

Years since qualifying
6
Licensed in
MA, NY, WA
In the registry since
2016
Specialties on file
6

Practice location Address checks out

411 Lafayette St
New York, NY 10003-7032
Phone: (315) 576-5694
Show map & directions

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

Additional practice locations (1)

  • 6406 Whispering Woods Dr, Williamson, NY 14589-9002 — (315) 576-5694

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 403386 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence RN2385688 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN2385688 (MA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP61498452 (WA)
Registered Nurse Taxonomy 163W00000X · Licence 61491766 (WA)
Registered Nurse Taxonomy 163W00000X · Licence 22703430 (NY)

Record details

NPI number1649728528
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 20, 2016
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Psychiatric Nurse Practitioner Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in New York