Thomas C Black, APRN, MSN
Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent in New Haven, Connecticut
1417078122- Practice location
- 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519-1369
- Phone
- 203-785-2140
- Fax
- 203-785-6414
- Last updated
- September 11, 2025
Thomas C Black is a Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent based in New Haven, CT. Thomas C Black practices in New Haven, CT and has the professional credentials of APRN, MSN. The NPI Number for Thomas C Black is 1417078122 and holds a License No. 003424 (CT). The current practice location address for Thomas C Black is 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519-1369 and can be reached out via phone at 203-785-2140 and via fax at 203-785-6414.
Provider Profile Details
- NPI Number
- 1417078122
- Provider Name
- Thomas C Black
- Credential
- APRN, MSN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519-1369
- Phone Number
- 203-785-2140
- Fax Number
- 203-785-6414
- Primary Taxonomy
- Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent · 364SP0807X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 2, 2007
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 800 Howard Ave
Yale Physicians Bldg
New Haven, CT 06519-1369 - City
- New Haven
- State
- Connecticut
- Zip
- 06519-1369
- Phone Number
- 203-785-2140
- Fax Number
- 203-785-6414
Provider Business Mailing Address Details
- Address
- Po Box 9805
300 George St 6TH Flr
New Haven, CT 06536-0805 - City
- New Haven
- State
- CT
- Zip
- 06536-0805
- Phone Number
- 203-785-7998
- Fax Number
- 203-785-6414
License Information
- License Number (1)
- 003424
- License State (1)
- CT
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- License Number (2)
- 003424
- License State (2)
- CT
- Taxonomy (2)
- Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent · 364SP0807X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Thomas C Black, APRN, MSN?
The NPI number of Thomas C Black, APRN, MSN is 1417078122. It was assigned on April 2, 2007 and is currently active in the NPPES registry.
What is the specialty of Thomas C Black, APRN, MSN?
Thomas C Black, APRN, MSN is registered under the primary taxonomy Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (code 364SP0807X), licensed in CT under license number 003424.
Where does Thomas C Black, APRN, MSN practice?
The practice location is 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519-1369. The office can be reached at 203-785-2140 (phone) or 203-785-6414 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417078122 directly on the NPPES registry website.