DR. MICHAEL RICHARD BLACK (NPI# 1699061390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699061390 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL RICHARD BLACK |
| Credential | PSYD |
| Practice Address |
2913 N Commonwealth Ave Rm 301 Saint Joseph Hospital Campus, Manor Building Chicago IL 60657-6211 |
| Mailing Address |
2230 N Kostner Ave Chicago IL 60639-3532 |
| Practice Telephone | 7736653186 |
| Practice Fax Number | 9999999999 |
| Mailing Telephone | 7732782643 |
| Mailing Fax Number | 9999999999 |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2016-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 071.008134 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659392256 | Michael Darryl Black | Surgery | 927 45th St Ste 301, West Palm Beach, FL 33407-2450 | 2006-07-21 |
| 1437703873 | Michael Anthony Black | Counselor | 230 Main Street Ext, Middletown, CT 06457-4470 | 2019-07-24 |
| 1104488816 | Michael David Black | Occupational Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2019-07-02 |
| 1376016873 | Michael Vincent Black | Specialist/Technologist | 535 E 70th St, New York, NY 10021-4823 | 2019-01-07 |
| 1750858072 | Michael R Black | Registered Nurse | 901 Rainier Ave S, Seattle, WA 98144-2839 | 2018-10-24 |
| 1134652217 | Michael Black | Student in an Organized Health Care Education/Training Program | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2017-04-06 |
| 1780124560 | Michael W Black | Case Manager/Care Coordinator | 65 Messimer Dr, Newark, OH 43055-1874 | 2017-02-28 |
| 1851732499 | Michael Anthony Black | Marriage & Family Therapist | 1313 E Maple St, Bellingham, WA 98225-5708 | 2013-07-11 |
| 1952655888 | Michael Emery Black | Physical Therapist | 2525 S 135th Ave, Omaha, NE 68144-2424 | 2012-10-30 |
| 1659679199 | Michael Black | Counselor | 1212 S Broadway, Suite 200, Denver, CO 80210-1582 | 2011-03-08 |
| Street Address |
2913 N COMMONWEALTH AVE RM 301 SAINT JOSEPH HOSPITAL CAMPUS, MANOR BUILDING |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-6211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| 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 |
|---|---|---|---|---|
| 1689275265 | Susan Benjamin Feingold Psyd and Associates LLC | Psychologist | 1038 N Crosby St, Chicago, IL 60610-2404 | 2020-11-02 |
| 1013524818 | Lincoln Park Psychology, Inc. | Psychologist | 644 W Webster Ave # B, Chicago, IL 60614-3710 | 2020-09-25 |
| 1962016386 | Brittney Aubin | Psychologist | 2555 N Clark St Apt 201, Chicago, IL 60614-1722 | 2020-09-02 |
| 1235750860 | Dia Anjali Mason | Psychologist | 1234 N Kedzie Ave, Chicago, IL 60651-2408 | 2020-05-05 |
| 1811532880 | Emily Wolodiger | Psychologist | 1645 W Jackson Blvd Ste 302, Chicago, IL 60612-3227 | 2019-11-13 |
| 1518500099 | Allow Wellness LLC | Psychologist | 233 E Wacker Dr Apt 3901, Chicago, IL 60601-5115 | 2019-10-28 |
| 1619510914 | Keeshawna Brooks | Psychologist | 325 N Wells St Ofc 523, Chicago, IL 60654-7024 | 2019-10-20 |
| 1104468800 | Emotion-focused Therapy Chicago, LLC | Psychologist | 230 E Ohio St Ste 405, Chicago, IL 60611-5288 | 2019-10-14 |
| 1124660022 | Lynne Lieberman | Psychologist | 325 S Paulina St, Chicago, IL 60612-3206 | 2019-10-11 |
| 1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on DR. MICHAEL RICHARD BLACK.
| 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.