Individual provider · Type 1 NPI

Michaela Black, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Englewood, CO

NPI number 1962268607 Active

Practice location

304 Inverness Way S Ste 225
Englewood, CO 80112-5841

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN.1655261 (CO)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPN.1000567-NP (CO)

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

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About NPI 1962268607

Michaela Black, PMHNP's National Provider Identifier is 1962268607, issued on Feb 21, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Englewood, CO. The record was last updated on Apr 21, 2026.