DR. SHANNON L BLACK (PH.D) – Clinical Psychologist, NPI 1679595300

DR. SHANNON L BLACK (PH.D) is a healthcare provider. based in Ceresco, Nebraska. specializing in Clinical Psychologist. They hold the professional credentials PH.D. They hold a License No. 422 (NE). The NPI Number for DR. SHANNON L BLACK (PH.D) is 1679595300

Main info

Female
Sole Proprietor
Name
DR. SHANNON L BLACK (PH.D)
NPI
1679595300
Phone
(402) 432-0745
Address
4949 ASHLAND ROAD
Enumeration Date
24 July 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. SHANNON L BLACK (PH.D)

  • 4949 ASHLAND ROAD

    PO BOX 533

    CERESCO, NE 68017

    Phone: (402) 432-0745

    Type: Mailing

  • 6120, Havelock Avenue, Havelock, Lincoln, Lancaster County, Nebraska, 68507, United States

    SUITE B

    LINCOLN, NE 685071278

    Phone: (402) 432-0745

    Type: Location

NPPES updates history

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Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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Insurance plans in this area (ZIP 68017)

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Frequently asked questions

What identifier follows DR. SHANNON L BLACK (PH.D) across health systems?
The NPI 1679595300 uniquely identifies DR. SHANNON L BLACK (PH.D) in U.S. healthcare data.
Is DR. SHANNON L BLACK (PH.D)'s NPI status active today?
Active status means DR. SHANNON L BLACK (PH.D)'s NPI record is not deactivated in the public file.
What type of care does DR. SHANNON L BLACK (PH.D) provide?
DR. SHANNON L BLACK (PH.D)'s profile centers on Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. SHANNON L BLACK (PH.D)?
The directory associates DR. SHANNON L BLACK (PH.D) with Ceresco, Nebraska. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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