Individual provider · Type 1 NPI

Jacy Leigh Black

Psychologist · Santa Ana, CA

NPI number 1104531615 Active

Practice location

200 W Santa Ana Blvd Ste 801
Santa Ana, CA 92701-4134

Specialties and licenses

Taxonomy	Code	License
Psychologist Primary	103T00000X	None listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1104531615

Jacy Leigh Black's National Provider Identifier is 1104531615, issued on Jan 18, 2023. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Santa Ana, CA. The record was last updated on Sep 10, 2025.