Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407094915 Individual Practitioner Female Practitioner

Dr. Sharon Kim Black , PsyD

Psychologist • Oak Park, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Sharon Black, PsyD is a certified Psychologist practicing in Oak Park, IL. With approximately 10 years of clinical experience since completing medical education in 2016, Dr. Black delivers high-quality medical care to the local community at 715 LAKE ST.

Dr. Black is affiliated with Blackbird Behavioral Health Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

715 Lake St
Suite 706

Oak Park, IL 603011422

Telephone 7739916375
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Oak Park, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -12.8 yrs vs City Avg
City Avg: 22.8 Yrs
State Avg: 25.1 Yrs
Regional Practice Density
17 Specialists

Practicing in Oak Park, IL (1075 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Black (10 Years) 10 Yrs
Oak Park Specialty Average (22.8 Years) 22.8 Yrs

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License IL 071.009658

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.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License IL 180.004472

Definition to come...

Hospital & Practice Group Affiliations

Blackbird Behavioral Health Pc

715 Lake St, Oak Park, IL 603011413

Phone: 7082098987

Practice Associates & Co-Workers

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

40 Associated Practitioners
Alexandra Salgado

Counselor - Mental Health

NPI 1033941158
Dr. Nathaniel Lim , DDS

Dentist - General Practice

NPI 1093893273

Doctor of Dental Surgery

Jessica Mroz , LCSW

Social Worker - Clinical

NPI 1124145016

Licensed Clinical Social Worker

NPI 1174105985
Amy Willen , CNM

Advanced Practice Midwife

NPI 1194887356

Certified Nurse Midwife

Maria Magana , LCP

Counselor - Mental Health

NPI 1215517628

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated November 04, 2019

Recorded as SHARON BLACK, PSY.D.

NPI Profile Active January 22, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 22, 2009

Registered at 715 LAKE ST, SUITE 706, OAK PARK, IL 603011422 (Tel: 7739916375)

📍
Updated Business Mailing Address January 22, 2009

Registered at 633 CARPENTER AVE, OAK PARK, IL 603041104 (Tel: 7739916375)

👤
Provider Name / Credentials Updated January 22, 2009

Recorded as SHARON BLACK, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2009

Counselor (License #180.004472 in IL)

🟢
Initial NPI Registration & Enumeration January 22, 2009

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: 1407094915
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2009
Last Update: November 04, 2019
Sole Proprietor: Yes

Mailing Address

633 Carpenter Ave

Oak Park, IL 603041104

Phone: 7739916375

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.