Amelia Black, PH.D., CGP
NPI 1770192379ActiveIndividual· Psychologist· Las Vegas, NV
Opted out of Medicare from September 2020 to September 2028. Psychologist (PH.D., CGP) in Las Vegas, Nevada, licensed in NV, with an NPI issued in July 2020.
Overview
| NPI | 1770192379 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D., CGP |
| Sole proprietor | Yes |
| NPI issued | Jul 29, 2020 |
| Last updated in NPPES | Aug 2, 2021 |
| Certified by provider | Aug 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PY0928 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Sep 15, 2020 – Sep 15, 2028 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
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