Individual provider · Type 1 NPI

Melissa Margo Black, MSN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · East Lansing, MI

NPI number 1013538834 Active

Practice location

4572 S Hagadorn Rd Ste 1G
East Lansing, MI 48823-5385

Call (517) 325-5224 Map

Mailing address

118 Cowley Ave
East Lansing, MI 48823-4012

Other practice locations

3475 Belle Chase Way, Lansing, MI 48911-4252 · (517) 882-3732

Specialties and licenses

Taxonomy	Code	License
Adult Psychiatric/Mental Health Clinical Nurse Specialist	364SP0809X	4704292407 (MI)
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	4704292407 (MI)
Child & Adolescent Psychiatric/Mental Health Registered Nurse	163WP0807X	4704292407 (MI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1013538834

Melissa Margo Black, MSN, PMHNP-BC's National Provider Identifier is 1013538834, issued on May 4, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in East Lansing, MI. The record was last updated on Jun 10, 2026.