Sharon Kim Black, PSY.D.
NPI 1407094915ActiveIndividual· Psychologist· Oak Park, IL
Psychologist (PSY.D.) with Blackbird Behavioral Health PC, practicing in Oak Park, Illinois. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1407094915 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | Jan 22, 2009 |
| Last updated in NPPES | Nov 4, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 071.009658 | IL |
| Counselor, Professional | 101YP2500X | 180.004472 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (IL) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Blackbird Behavioral Health PCOak Park, IL · 3 clinicians
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