MICHAEL S BLACK PH D AND PARK PSYCHOLOGICAL SERVICES LTD
NPI 1407095466
Psychologist - Clinical in Glencoe, IL

Q: What is Michael S Black Ph D And Park Psychological Services Ltd's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since February 16, 2009

473 PARK AVE, GLENCOE, IL 60022(847) 835-5517(847) 835-3321 Get Directions Write a Review

NPPES record last updated: February 16, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael S Black Ph D And Park Psychological Services Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL S BLACK PH D AND PARK PSYCHOLOGICAL SERVICES LTD (NPI 1407095466) is a healthcare organization registered as a clinical in Glencoe, Illinois and active in the NPI registry since February 2009. The organization lists Michael Stuart Black, President, as its authorized official.

NPPES Registry Identity

NPI1407095466

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameMICHAEL S BLACK PH D AND PARK PSYCHOLOGICAL SERVICES LTD

Location Address473 PARK AVEGlencoe, IL 60022-1549

Mailing Address473 Park AveGlencoe, IL 60022-1549 · (947) 835-5517 · Fax (847) 835-3321

Phone(847) 835-5517

Fax(847) 835-3321

Organization SubpartNo

Authorized OfficialMichael Stuart BlackPresident · (847) 835-5517

Enumeration DateFebruary 16, 2009

✔ NPI 1407095466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071-000739

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

473 PARK AVE, Glencoe, IL 60022

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Other Identifiers 1

Medicare PIN204011IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael S Black Ph D And Park Psychological Services Ltd's NPI number?

The NPI number for Michael S Black Ph D And Park Psychological Services Ltd is 1407095466. It was assigned to this organization in the NPPES registry on February 16, 2009.

Where is Michael S Black Ph D And Park Psychological Services Ltd located?

Michael S Black Ph D And Park Psychological Services Ltd is located at 473 Park Ave, Glencoe, IL 60022. The listed phone number is (847) 835-5517.

What is Michael S Black Ph D And Park Psychological Services Ltd's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Michael S Black Ph D And Park Psychological Services Ltd was last updated on February 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.