SHANNAN MCNAMARA (NPI# 1235640996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235640996 |
| Entity Type | Individual |
| Full Name | SHANNAN MCNAMARA |
| Credential | ED. S |
| Practice Address |
8001 Redtail Dr Village of Lakewood IL 60014-3354 |
| Practice Telephone | 8477071176 |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2017-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
8001 REDTAIL DR |
| City | VILLAGE OF LAKEWOOD |
| State | IL |
| Zip Code | 60014-3354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679428 | Jessica Scharf | Psychologist | 8502 Bailey Rd # 63, Darien, IL 60561-5333 | 2020-11-06 |
| 1225637283 | Nicole Maggard | Psychologist | 137 Somerset Rd, Willowbrook, IL 60527-5470 | 2020-10-21 |
| 1033724232 | Shadequia Davis | Psychologist | 402 Richards St, Joliet, IL 60433-2218 | 2020-09-14 |
| 1043823123 | Lindsay Ann Franklin | Psychologist | 436 Coral Dr, Morton, IL 61550-8505 | 2020-08-28 |
| 1053923995 | Annie Biehl | Psychologist | 9750 Soreng Ave, Schiller Park, IL 60176-2105 | 2020-08-21 |
| 1811508989 | Caroline Cook | Psychologist | 246 S Fair Ave, Elmhurst, IL 60126-3600 | 2020-08-12 |
| 1760009955 | Tammy Carroll | Psychologist | 3801 Lake Ct, Trenton, IL 62293-2938 | 2020-07-03 |
| 1316568629 | Denisa Kerekes | Psychologist | 1536 Cedarwood Ct, Gurnee, IL 60031-6346 | 2020-04-28 |
| 1740801174 | Jessica Berlinghof | Psychologist | 220 Greenwood Dr, Round Lake Park, IL 60073-3444 | 2020-04-27 |
| 1861038200 | Ease of Mind Pllc | Psychologist | 10526 West Cermak Road, Suite 308aa, Westchester, IL 60154 | 2019-11-20 |
| Find all providers with the same taxonomy | ||||
| City | VILLAGE OF LAKEWOOD |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on SHANNAN MCNAMARA.
| 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.