National Provider Identifier Database

CARLA M BLACK, MD – NPI #1124473749
Child & Adolescent Psychiatry

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.


Contact Information

CARLA M BLACK, MD
6640 INTECH BLVD STE 195
INDIANAPOLIS, IN46278-2014
Phone: 317-295-0608
Fax: 317-948-0609
Website:
Specialty Taxonomy Code
* Child & Adolescent Psychiatry 2084P0804X
Pediatrics 208000000X
Psychiatry 2084P0800X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for CARLA M BLACK

NPI Number 1124473749
Credentials MD
Entity Individual
Enumeration date 05/02/2016
Last updated 05/15/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • IN License #: 01087770A
  • LA License #: 310168
  • IN Medicaid: 300062282
  • IN Other: 1102529646 ANTHEM PTAN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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