Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447871801 Individual Practitioner Female Practitioner

Amy Catherine Black , SPSS

Peer Specialist • Riverside, CA

Professional Overview & Biography Verified Profile Summary

Amy Black, SPSS is a registered healthcare professional specializing in Peer Specialist in Riverside, CA. Practice services are available at 2085 RUSTIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2085 Rustin Ave

Riverside, CA 925072498

Telephone 9514065365
Associated Practice Facility / Clinic
🏢 County Of Riverside Facility NPI 1902971328

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
387 Specialists

Practicing in Riverside, CA (4567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-12
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003928342

Bachelor of Arts, CASMSW

Gail Leavitt , CPSS

Peer Specialist

NPI 1013418003
Ernestina Mcgrew , RN

Registered Nurse

NPI 1013530534

Registered Nurse

Miguel Aguilar

Student in an Organized Health Care Education/Training Program

NPI 1013704543
Kristin Miller , MSW

Social Worker - Clinical

NPI 1023104882

Master of Social Work

Michael Degrutt , LMFT

Counselor - Mental Health

NPI 1023415395

Licensed Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
👤
Provider Name / Credentials Updated December 12, 2022

Recorded as AMY BLACK, SPSS

👤
Provider Name / Credentials Updated December 06, 2022

Recorded as AMY BLACK, CSPSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2022

Peer Specialist

📍
Updated Practice Location April 26, 2022

Registered at 2085 RUSTIN AVE, RIVERSIDE, CA 925072498 (Tel: 9514065365)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2022

Peer Specialist

NPI Profile Active April 27, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2020

Registered at 2813 S MAIN ST FL 2, CORONA, CA 928825942 (Tel: 9517372962)

📍
Updated Business Mailing Address April 27, 2020

Registered at 2813 S MAIN ST FL 2, CORONA, CA 928825942 (Tel: 9517372962)

👤
Provider Name / Credentials Updated April 27, 2020

Recorded as AMY BLACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2020

Counselor

🟢
Initial NPI Registration & Enumeration April 27, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447871801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2020
Last Update: December 12, 2022
Sole Proprietor: No

Mailing Address

2813 S Main St Fl 2

Corona, CA 928825942

Phone: 9517372962

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.