Organization · Type 2 NPI

Blackbird Behavioral Health, PC

Mental Health Clinic/Center (Including Community Mental Health Center) · Oak Park, IL

NPI number 1245748722 Active

Practice location

715 Lake St Ste 410
Oak Park, IL 60301-1413

Call (708) 209-8987 Map

Mailing address

633 Carpenter Ave
Oak Park, IL 60304-1104

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Another provider at this address

Wholehealth Therapy Partners, IncProfessional Counselor Oak Park, IL NPI 1457704603

Other mental health clinic/center (including community mental health center) providers in Oak Park

See all in Oak Park →

NPI record

NPI: 1245748722
Entity type: Organization (Type 2)
Issued: Jan 18, 2018
Last updated: Mar 26, 2018
Status: Active

Other names

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Blackbird Behavioral Health · doing business as
Blackbird Behavioral Health · doing business as

Authorized official

Sharon K Black, PSY.D.
Director
(708) 209-8987

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245748722

Blackbird Behavioral Health, PC's National Provider Identifier is 1245748722, issued on Jan 18, 2018. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Oak Park, IL. The record was last updated on Mar 26, 2018.