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Active NPI 1477950749 Individual Practitioner Female Practitioner

Jillian Black , MS, EDS

Psychologist - School • Mason, OH

Professional Overview & Biography Verified Profile Summary

Jillian Black, MS, EDS is a registered healthcare professional specializing in Psychologist - School in Mason, OH. Practice services are available at 755 WESTERN ROW ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

755 Western Row Road
Western Row Elementary

Mason, OH 45040

Telephone 5133985821

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - School in Mason, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.3 Yrs
Regional Practice Density
10 Specialists

Practicing in Mason, OH (1539 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

Psychologist - School Primary Specialty

NUCC Taxonomy Code: 103TS0200X

State License OH 21027332

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Practice Associates & Co-Workers

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

8 Associated Practitioners
Shelby Wood , MS, OTR, L

Occupational Therapist

NPI 1154059301

Master of Science, Occupational Therapist Registered, L

Emilie Johnson , MA CCC SLP

Speech-Language Pathologist

NPI 1275243974

MACCCSLP

NPI 1568860047

Master of Arts

Katelynn Harwood , MS, OTR, L

Occupational Therapist

NPI 1679114045

Master of Science, Occupational Therapist Registered, L

Christy Speigel

Speech-Language Pathologist

NPI 1801294384
Victoria Cunningham , OTR, L

Occupational Therapist

NPI 1881424570

Occupational Therapist Registered, L

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 02, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2014

Registered at 755 WESTERN ROW ROAD, WESTERN ROW ELEMENTARY, MASON, OH 45040 (Tel: 5133985821)

📍
Updated Business Mailing Address December 02, 2014

Registered at 6656 FOUNTAINS BLVD UNIT 7, WEST CHESTER, OH 450696128 (Tel: 3309332766)

👤
Provider Name / Credentials Updated December 02, 2014

Recorded as JILLIAN BLACK, M.S., ED.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2014

Psychologist (License #21027332 in OH)

🟢
Initial NPI Registration & Enumeration December 02, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1477950749
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 02, 2014
Last Update: December 02, 2014
Sole Proprietor: No

Mailing Address

6656 Fountains Blvd Unit 7

West Chester, OH 450696128

Phone: 3309332766

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