SHANNON SHI (NPI# 1780633271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780633271 |
| Entity Type | Individual |
| Full Name | SHANNON SHI |
| Credential | M.D. |
| Practice Address |
1335 N Mill St Ste 100 Naperville IL 60563-2261 |
| Practice Telephone | 6306468000 |
| Practice Fax Number | 6306468007 |
| Mailing Telephone | 6306468000 |
| Mailing Fax Number | 6306468007 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2015-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
036111685 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036111685 1 | 05 | |
| IL | BCBS | 2220936 | 01 |
| Street Address |
1335 N MILL ST STE 100 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563-2261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461379 | Samantha Machniak-cedano | Counselor | 1335 N Mill St, Naperville, IL 60563-2261 | 2020-09-08 |
| 1861021073 | Kristin Katsenes | Nurse Practitioner | 1335 N Mill St, Naperville, IL 60563-2261 | 2020-04-08 |
| 1851865299 | Nicolas Comeau | Psychologist | 1335 N Mill St, Naperville, IL 60563-2261 | 2019-01-18 |
| 1598200701 | Susan Mangano | Nurse Practitioner | 1335 N Mill St, Suite 100, Naperville, IL 60563-2261 | 2016-12-23 |
| 1942758776 | Danielle Marie Degrado | Nurse Practitioner | 1335 N Mill St, Suite 100, Naperville, IL 60563-2261 | 2016-09-21 |
| 1639542780 | Ryan Mcfeeters | Physician Assistant | 1335 N Mill St, Suite 100, Naperville, IL 60563-2261 | 2015-11-10 |
| 1871963181 | Bryan Rebhan | Counselor | 1335 N Mill St, Ste 100, Naperville, IL 60563-2261 | 2015-09-29 |
| 1639547672 | Deirdre Hartnett | Nurse Practitioner | 1335 N Mill St, Naperville, IL 60563-2261 | 2015-09-08 |
| 1588055958 | Marie Steta | Nurse Practitioner | 1335 N Mill St, Suite 100, Naperville, IL 60563-2261 | 2015-02-06 |
| 1245638162 | Janette Marie Leveille | Physician Assistant | 1335 N Mill St, Suite 100, Naperville, IL 60563-2047 | 2014-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740558261 | Jyoti Shah | Psychiatry & Neurology | 1335 N Mill St Ste 100, Naperville, IL 60563-2047 | 2011-12-12 |
| 1992980379 | Janice L Kowalski | Psychiatry & Neurology | 852 S West St, Naperville, IL 60540-6400 | 2008-01-04 |
| 1245281724 | Edward Health Ventures | Psychiatry & Neurology | 1335 N Mill St, Ste 100, Naperville, IL 60563-2261 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851684 | Greywood Health Center LLC | Psychiatry & Neurology | 303 W Institute Pl Fl 3, Chicago, IL 60610-3080 | 2020-02-03 |
| 1285273540 | Tms Clinical Services Pllc | Psychiatry & Neurology | 1100 Jorie Blvd Ste 172, Oak Brook, IL 60523-4409 | 2020-01-03 |
| 1942702386 | Brain and Wellness Institute LLC | Psychiatry & Neurology | 30 W Oak St Apt 14a, Chicago, IL 60610-8724 | 2018-03-01 |
| 1598278749 | Elemental Treatment Center Ltd | Psychiatry & Neurology | 612 S Western Ave Apt 1, Chicago, IL 60612-4682 | 2017-11-09 |
| 1225404551 | Family Renewed, LLC | Psychiatry & Neurology | 1004 Pebble Beach Dr, Caseyville, IL 62232-2834 | 2015-08-21 |
| 1487032082 | Jerry Francisco Benzl | Psychiatry & Neurology | 1740 Taylor St., Chicago, IL 60612 | 2015-05-14 |
| 1942697800 | Dr Mo S.c | Psychiatry & Neurology | 2131 W Silverleaf Ln, Addison, IL 60101-6404 | 2015-04-17 |
| 1104234046 | Hitekshya Nepal | Psychiatry & Neurology | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2014-07-23 |
| 1083921530 | Jodi Chase | Psychiatry & Neurology | 480 Elm Pl Ste 106, Highland Park, IL 60035-2535 | 2010-09-04 |
| 1831424712 | Nausheen Hafiz-din | Psychiatry & Neurology | 600 Fox Glen Ct, Barrington, IL 60010-1834 | 2009-10-09 |
| Find all providers with the same taxonomy | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
Please comment or provide details below to improve the information on SHANNON SHI.
| 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.