Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699061390 Individual Practitioner Male Practitioner

Dr. Michael Richard Black , PsyD

Psychologist • Chicago, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Black, PsyD is a certified Psychologist practicing in Chicago, IL. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Black delivers high-quality medical care to the local community at 3139 N LINCOLN AVE STE 221.

Dr. Black accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3139 N Lincoln Ave Ste 221

Chicago, IL 606573122

Telephone 7734580585
Fax 9999999999

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Chicago, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs -3.3 yrs vs City Avg
City Avg: 22.3 Yrs
State Avg: 25.1 Yrs
Regional Practice Density
350 Specialists

Practicing in Chicago, IL (1075 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
21.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Black (19 Years) 19 Yrs
Chicago Specialty Average (22.3 Years) 22.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
322 15 $195.00 $153.75

Medical Specialties & State Licenses

CMS Verified: 2022-05-13
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License IL 071008134

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Barbara Caldwell , APRN

Nurse Practitioner - Women's Health

NPI 1003898032

Advanced Practice Registered Nurse

NPI 1013881135
Cheryl Moses , LCSW-C

Counselor - Mental Health

NPI 1023449840

Licensed Clinical Social Worker - Certified

Dr. Lorenzo Hughes , MD

Pain Medicine - Interventional Pain Medicine

NPI 1033230404

Doctor of Medicine (M.D.)

Dr. Jayme Ahmed , MD

Psychiatry & Neurology - Psychiatry

NPI 1043659436

Doctor of Medicine (M.D.)

NPI 1063066611

MASTERSBCBA

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2022

Psychologist (License #071008134 in IL)

📍
Updated Practice Location April 30, 2022

Registered at 3139 N LINCOLN AVE STE 221, CHICAGO, IL 606573122 (Tel: 7734580585)

NPI Profile Active August 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2016

Registered at 2913 N COMMONWEALTH AVE RM 301, SAINT JOSEPH HOSPITAL CAMPUS, MANOR BUILDING, CHICAGO, IL 606576211 (Tel: 7736653186)

📍
Updated Business Mailing Address August 03, 2016

Registered at 2230 N KOSTNER AVE, CHICAGO, IL 606393532 (Tel: 7732782643)

👤
Provider Name / Credentials Updated August 03, 2016

Recorded as MICHAEL BLACK, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2016

Psychologist (License #071.008134 in MI)

🟢
Initial NPI Registration & Enumeration June 22, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699061390
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2011
Last Update: May 13, 2022
Sole Proprietor: Yes

Mailing Address

2230 N Kostner Ave

Chicago, IL 606393532

Phone: 7732782643

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.