DR. SHAWN DAUGHERTY (NPI# 1154635712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154635712 |
| Entity Type | Individual |
| Full Name | DR. SHAWN DAUGHERTY |
| Credential | PSY.D. |
| Practice Address |
456 Central Avenue 201 Northfield IL 60093 |
| Mailing Address |
1750 W Julian St #4 Chicago IL 60622-2110 |
| Practice Telephone | 7738529869 |
| Mailing Telephone | 7738529869 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 071006371 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740450048 | Shawn F Daugherty | Counselor | 1010 Farragut Ave, Colorado Springs, CO 80909-3726 | 2008-03-04 |
| Street Address |
456 CENTRAL AVENUE 201 |
| City | NORTHFIELD |
| State | IL |
| Zip Code | 60093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740812346 | Rosa Machabanski | Counselor | Josselyn Center, 405 Central Ave, Northfield, IL 60093 | 2020-02-11 |
| 1972080273 | Solutions-north Shore | Clinic/Center | 550 W Frontage Road, Suite 2810, Northfield, IL 60093 | 2018-07-19 |
| 1639671001 | Ilyssa Emily Lasky | Counselor | 723 Elm St Ste 20, Winnetka, IL 60093 | 2018-03-01 |
| 1285140079 | Rebecca Price | Social Worker | 400 Central Ave Ste 202, Northfield, IL 60093 | 2017-12-17 |
| 1063801033 | Anthony J. Geroulis, Md., S.c | Otolaryngology | 330 West Frontage Rd, Northfield, IL 60093 | 2015-01-14 |
| 1417354093 | Ardeshir Raghian Dds PC | Dentist | 723 Elm Street, Suite 21, Winnetka, IL 60093 | 2014-11-26 |
| 1811261092 | Jordan Allen Anderson | Specialist/Technologist | 7 Happ Road, New Trier Township High School, Northfield, IL 60093 | 2012-03-06 |
| 1326317801 | Anita Lynn Schmidt | Social Worker | 466 Central Ave Ste 50, Northfield, IL 60093 | 2011-12-29 |
| 1992087027 | Sivan Hannah Schondorf | Speech-Language Pathologist | 465 Central Ave., 201, Northfield, IL 60093 | 2011-09-14 |
| 1831409317 | The Arnold Center for Integrated Wellness, P.C. | Psychologist | 456 W. Frontage Rd., Suite 32, Northfield, IL 60093 | 2010-10-18 |
| Find all providers in zip 60093 | ||||
| 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 |
|---|---|---|---|---|
| 1083257349 | Nathaniel Page | Psychologist | 2423 Valley Dr, Northfield, MN 55057-3224 | 2019-10-18 |
| 1366691057 | Carrie Ann Remmell | Psychologist | 158 Water St N Ste 5, Northfield, MN 55057-2125 | 2008-09-17 |
| 1205058427 | Daniel John Dimick | Psychologist | 105 4th St E Ste 304, Northfield, MN 55057-2047 | 2007-05-03 |
| 1740343532 | Shelley Kay Hansen | Psychologist | 105 4th St E, Suite #302, Northfield, MN 55057-2047 | 2006-12-19 |
| 1255409199 | Elaine M Nesbit | Psychologist | 220 Division St, Center for Human Resources, Northfield, MN 55057 | 2006-11-30 |
| 1679673503 | Phyllis A Foote Milbrandt | Psychologist | 401 Division Street, Suite C, Northfield, MN 55057 | 2006-09-22 |
| 1013949007 | Kelly Ann Hargadon | Psychologist | 1600 New Rd, Suite 2a, Northfield, NJ 08225-1108 | 2006-07-07 |
| 1508803578 | Jon E Walser-kuntz | Psychologist | 501 Nevada St, Northfield, MN 55057-2302 | 2006-05-31 |
| 1902868250 | Peggy Hanson | Psychologist | 680 Professional Dr, Northfield, MN 55057-2755 | 2006-04-03 |
| 1619958014 | Nancy L Fischer | Psychologist | 301 South Division Street, Northfield, MN 55057 | 2005-11-11 |
| Find all providers in NORTHFIELD | ||||
| City | NORTHFIELD |
| Zip Code | 60093 |
Please comment or provide details below to improve the information on DR. SHAWN DAUGHERTY.
| 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.