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

Sharon Kim Black, PSYD

Individual provider Professional Counselor · NPI 1407094915

Sharon Kim Black, PSYD is a Clinical Psychologist in Oak Park, Illinois. Qualified in 2016, 10 years ago. Practices with Blackbird Behavioral Health PC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2009
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

715 Lake St Ste 706
Oak Park, IL 60301-1422
Phone: (773) 991-6375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 071.009658 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 180.004472 (IL)

Record details

NPI number1407094915
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJanuary 22, 2009
Last updated in NPPESNovember 4, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Blackbird Behavioral Health Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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