NPI 1508954975 · live from the CMS NPI Registry
Jeffery Reuben Black, MD
Psychiatry & Neurology, Child & Adolescent Psychiatry in Greer, SC. National Provider Identifier 1508954975, active.
NPI record
| NPI | 1508954975 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Child & Adolescent Psychiatry 2084P0804X |
| Practice location | 109 Physicians Dr Ste B, Greer, SC 29650 |
| Practice phone | 864-797-9170 |
| Mailing address | 300 E Mcbee Ave Fl 4, Greenville, SC 29601 |
| Enumerated | October 11, 2006 |
| Last updated | June 3, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Child & Adolescent Psychiatry primary | 2084P0804X | 89089 (SC) |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | 37486 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.