Organization
BRUCE BLACK M.D. P.C.
Active
Other names
Comprehensive Psychiatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN BALLARD (BILLING MANAGER)
(781) 239-3550
Entity
Organization
Contact information
Practice address
372 WASHINGTON ST, WELLESLEY, MA 02481-6202
(781) 239-3550
(781) 239-3272
Mailing address
372 WASHINGTON ST, WELLESLEY, MA 02481-6202
(781) 239-3550
(781) 239-3272
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
MA
1041C0700X
Clinical Social Worker
—
MA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
MA
2084P0800X
Psychiatry Physician
—
MA
2084P0804X
Child & Adolescent Psychiatry Physician
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
615009
TUFTS HEALTH PLAN
MA
01
—
M16732
BCBSMA
MA
Enumeration date
08/05/2006
Last updated
09/11/2025
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