Whalio Doctors

NPI 1639147069

James E Black, MD

Practitioner Psychiatry Physician St. Paul, MN

Practice location

Address
640 Jackson St Mail Stop 11302c, Healthpartners Regions Behavioral Hea, St. Paul, MN 55101-2502
Phone
(651) 254-4786
Fax
(651) 254-9426
Mailing address
8170 33rd Ave S Ms21110q, Minneapolis, MN 55425-4516

Registered specialties (2)

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 54355 (MN)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 036-092041 (IL)

Registry record

NPI
1639147069
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Mar 2006
Record last updated
12 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.