NPPES file of Aug 9, 2026

Maggie Black, PSYD

Clinical Psychologist · Old Saybrook, CT

Maggie Black, PSYD is a clinical psychologist with a practice address in Old Saybrook, Connecticut, and NPI 1285912550, issued on Aug 3, 2011. Check the license with the Connecticut board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1285912550
Name
Maggie Black
Credential
PSYD
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
04855 MD
Self-reported in NPPES; status is on the state search
Practice location
20 Research Pkwy, Old Saybrook, CT 06475
Phone
(800) 370-3651
Enumerated
Aug 3, 2011
Record last updated
Aug 3, 2011 (not updated in 15 years: call before relying on the address or phone)
Fax
(860) 510-0020
Medicare enrollment
Enrolled (PECOS I20110826000457); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 20 Research Pkwy

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Danil AnisimovPsychiatric/Mental Health Nurse Practitioner1114150984
  2. Antoinette Antonopoulos, LICSWClinical Social Worker1952565533
  3. Alberta Baccari, LCSWClinical Social Worker1437344520
  4. Cheryl Begg, LCSWClinical Social Worker1467736066
  5. Maria Belval, LCSWClinical Social Worker1073528931
  6. Judith Bloom, LICSWClinical Social Worker1497810683

Verify Maggie Black in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Connecticut board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Connecticut license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Shore Neurocognitive Health LLCEaston, MD

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Maggie Black among 1,114 clinical psychologist records in Connecticut

Maggie Black, PSYD is one of 1,114 clinical psychologist records with a practice address in Connecticut. 14% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 60% of them.

  • NPI issued2011 · 60% of these records are older, 36% newer
  • In a Medicare fileYes · 14% of these records are
  • In the CMS Doctors and Clinicians fileYes · 26% of these records are
  • Graduated2010 · median 2000 among the 294 with a school on file
  • Record last updated2011 · 72% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Connecticut practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

17 clinical psychologist records list a practice address in Old Saybrook

They are 17 of the 308 NPPES records with a practice address in Old Saybrook, and 1,114 clinical psychologist records in Connecticut.

The 8 clinical psychologist records with the nearest ZIP codes

  1. David Bonanno, PSYDOld Saybrook, CT 064751780843540
  2. Douglas Dufore, PHDOld Saybrook, CT 064751174607113
  3. Gary Freudenthal, PSYDOld Saybrook, CT 064751518963784
  4. Lisa Galasso, PH.D.Old Saybrook, CT 064751720210925
  5. Leonard Guitar, PSY.D.Old Saybrook, CT 064751164570339
  6. Cheryl Henderson, PSYDOld Saybrook, CT 064751851520159
  7. Margaret Lewman, PH.D.Old Saybrook, CT 064751356448500
  8. Joanne Petursson, PSY.D.Old Saybrook, CT 064751790185270

Common questions

What is Maggie Black, PSYD's NPI number?

Maggie Black, PSYD's National Provider Identifier (NPI) is 1285912550, issued on Aug 3, 2011. An NPI identifies a provider in billing; it is not a license.

Where is Maggie Black, PSYD located?

The NPPES record lists a practice address at 20 Research Pkwy, Old Saybrook, CT, 06475. Phone: (800) 370-3651. Providers update this record themselves, so call before visiting.

How can I verify Maggie Black, PSYD's license?

Search the Connecticut board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.