SHARON KIM BLACK (NPI# 1407094915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407094915 |
| Entity Type | Individual |
| Full Name | SHARON KIM BLACK |
| Credential | PSY.D. |
| Practice Address |
715 Lake St Suite 706 Oak Park IL 60301-1422 |
| Mailing Address |
633 Carpenter Ave Oak Park IL 60304-1104 |
| Practice Telephone | 7739916375 |
| Mailing Telephone | 7739916375 |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
180.004472 | IL | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 071.009658 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851845267 | Sharon Black | Psychologist | 1774 Sheridan Ave, Saint Paul, MN 55116-2730 | 2016-08-15 |
| 1154933737 | Sharon M. Black | Counselor | 224 Great Bridge Blvd, Chesapeake, VA 23320-3904 | 2020-08-17 |
| 1720375215 | Sharon Lajoyce Black | Social Worker | 360 N Irby St, Florence, SC 29501 | 2011-07-05 |
| 1053620096 | Sharon Sue Black | Nurse Practitioner | 777 W State St, Suite 201 Lower Lights Christian Health Center, Columbus, OH 43222-1536 | 2010-09-24 |
| 1568627248 | Sharon Rochelle Black | Counselor | 52 Dore St, San Francisco, CA 94103-3828 | 2008-07-22 |
| 1457534786 | Sharon Black | Dietitian, Registered | 1542 S Bloomington St, Greencastle, IN 46135-2212 | 2007-12-10 |
| 1760559074 | Sharon Beth Black | Physical Therapist | 421 Chesapeake Dr, Searcy, AR 72143-7035 | 2006-11-29 |
| Street Address |
715 LAKE ST SUITE 706 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60301-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568427888 | Stephen Schlesinger | Psychologist | 715 Lake St, Suite 806, Oak Park, IL 60301-1422 | 2006-04-19 |
| 1326686171 | Sofia Ana Rowan-martin | Counselor | 715 Lake St, Oak Park, IL 60301-1422 | 2019-12-11 |
| 1699317297 | Erica Patricia Negrete | Social Worker | 715 Lake St, Oak Park, IL 60301-1422 | 2019-10-15 |
| 1073163465 | Dialyze Direct Il LLC | Clinic/Center | 715 Lake St, Oak Park, IL 60301-1422 | 2019-09-17 |
| 1295389955 | Alison Possehl | Social Worker | 715 Lake St, Oak Park, IL 60301-1422 | 2019-07-30 |
| 1952881831 | Karen Escobar | Social Worker | 715 Lake St, Oak Park, IL 60301-1422 | 2018-08-20 |
| 1659870798 | Crystal Rose Johnson | Psychologist | 715 Lake St, Oak Park, IL 60301-1422 | 2018-02-05 |
| 1871049635 | Tara Dethmers | Advanced Practice Midwife | 715 Lake St, #273, Oak Park, IL 60301-1422 | 2016-08-31 |
| 1902359938 | Vince Murphy & Associates, P.C. | Social Worker | 715 Lake St, Suite 510, Oak Park, IL 60301-1422 | 2016-07-26 |
| 1356799514 | Tara Beyer | Counselor | 715 Lake St, Suite 800, Oak Park, IL 60301-1422 | 2016-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982332 | Heather Lea Corwin | Counselor | Blackbird Behavioral Health, 715 Lake Street, 4th Floor, Oak Park, IL 60301 | 2020-01-30 |
| 1194244400 | Kristin Burns Mind and Body | Clinic/Center | 715 Lake St Ste 703, Oak Park, IL 60301 | 2017-09-18 |
| 1538686357 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1129 Lake St., Oak Park, IL 60301 | 2017-08-23 |
| 1851835888 | Wanda Secthecia Presley | Nurse's Aide | 1140 South Lake Street, Oak Park, IL 60301 | 2016-12-09 |
| 1477914323 | Naomi Elise Heinz | Occupational Therapist | 820 North Boulevard, Kids Unlimited Therapy Services, LLC, Oak Park, IL 60301 | 2016-03-18 |
| 1316339518 | Christina Shrader | Counselor | 137 N Oak Park Ave Ste 123, Oak Park, IL 60301 | 2015-02-24 |
| 1356755334 | Grief Recovery Group, Inc | Social Worker | 1010 Lake Street, Suite 620, Oak Park, IL 60301 | 2014-06-17 |
| 1700137239 | Christine Marie Hare | Nurse Practitioner | 1100 Lake St Ste 120, Oak Park, IL 60301 | 2012-09-24 |
| 1427334622 | Ina N. Owens | Social Worker | 137 N. Oak Park Ave, Oak Park, IL 60301 | 2011-11-01 |
| 1265720130 | Debora S Crowley | Occupational Therapist | 820 North Blvd., Oak Park, IL 60301 | 2011-07-13 |
| Find all providers in zip 60301 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376159541 | Jill Caryn Campbell | Psychologist | 342 Ocho Rios Way, Oak Park, CA 91377-5541 | 2020-09-22 |
| 1215419064 | Ethos Behavioral Health | Psychologist | 25900 Greenfield Rd Ste 222, Oak Park, MI 48237-1267 | 2018-08-29 |
| 1154865590 | Destiny Peterson | Psychologist | 25900 Greenfield Rd Ste 100, Oak Park, MI 48237-1297 | 2016-12-05 |
| 1811226954 | Tara Marie Andersen | Psychologist | 8543 Oak Park Blvd, Oak Park, MI 48237-1847 | 2009-12-21 |
| 1396981627 | Uhs of Hartgrove, Inc | Psychologist | 101 Madison St Ste 200, Oak Park, IL 60302-4210 | 2008-12-16 |
| 1609081637 | Laurie Anderson | Psychologist | 206 S Kenilworth Ave, Oak Park, IL 60302-3116 | 2007-05-12 |
| 1255451084 | Maurice Solodky Phd P.C. | Psychologist | 1034 Pleasant St, Oak Park, IL 60302-3002 | 2007-03-29 |
| 1033251384 | Debora Ilene Rothbart | Psychologist | 26031 Stratford Pl, Oak Park, MI 48237-1029 | 2007-02-13 |
| 1871667980 | Kimberly Lisa Smith-martinez | Psychologist | 110 S Euclid Ave, Oak Park, IL 60302-2906 | 2006-11-20 |
| 1730293036 | Tamar A Levinson | Psychologist | 1051 N Humphrey Ave, Oak Park, IL 60302-1419 | 2006-08-17 |
| Find all providers in OAK PARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.