Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael S Black Ph D and Park Psychological Services Ltd

Organization Clinical Psychologist · NPI 1407095466

Michael S Black Ph D and Park Psychological Services Ltd provides Clinical Psychologist services in Glencoe, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

473 Park Ave
Glencoe, IL 60022-1549 Not confirmed with CMS for 17 years — call before visiting
Phone: (847) 835-5517
Fax: (847) 835-3321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071-000739 (IL)

Record details

NPI number1407095466
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Black — President · (847) 835-5517
NPI enumeratedFebruary 16, 2009
Last updated in NPPESFebruary 16, 2009
Mailing address473 Park Ave, Glencoe, IL 60022-1549

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