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 is a Clinical Psychologist 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
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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