Michelle Lynn Jochim Black, PH.D.
NPI 1356714893ActiveIndividual· Psychologist· Saint Louis, MO
Psychologist (PH.D.) in Saint Louis, Missouri, licensed in MO, with an NPI issued in November 2015. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1356714893 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Nov 5, 2015 |
| Last updated in NPPES | Nov 10, 2020 |
| Certified by provider | Nov 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 2015035134 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MO) |
|---|
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