DR. SHANNON LEIGH CALVERT OSUCHOWSKI (NPI# 1811245269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811245269 |
| Entity Type | Individual |
| Full Name | DR. SHANNON LEIGH CALVERT OSUCHOWSKI |
| Other Name | DR. SHANNON LEIGH CALVERT |
| Credential | PSY.D. |
| Practice Address |
2948 Artesian Rd Ste 112 Naperville IL 60564-8559 |
| Practice Telephone | 6304287890 |
| Mailing Telephone | 6304287890 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2014-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071008716 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION | 071008716 | 01 |
| Street Address |
2948 ARTESIAN RD STE 112 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60564-8559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134452642 | Debbie Vaughan | Counselor | 2948 Artesian Rd Ste 112, Naperville, IL 60564-8559 | 2009-09-15 |
| 1588263552 | Adianis Contreras | Counselor | 2948 Artesian Rd Ste 112, Naperville, IL 60564-8559 | 2020-10-21 |
| 1578162608 | Bailey Nicole O'rilley | Counselor | 2948 Artesian Rd Ste 112, Naperville, IL 60564-8559 | 2020-10-20 |
| 1972113793 | Kelli Kohlstedt | Marriage & Family Therapist | 2948 Artesian Rd Ste 112, Naperville, IL 60564-8559 | 2020-08-06 |
| 1255940664 | Robert Beach | Counselor | 2948 Artesian Rd Ste 112, Naperville, IL 60564-8559 | 2020-07-31 |
| 1881210490 | Megan Ann Sullivan | Psychologist | 2948 Artesian Rd Ste 112, Naperville, IL 60564-8559 | 2020-06-19 |
| 1154947927 | Kate Letourneau | Counselor | 2948 Artesian Rd Ste 112, Naperville, IL 60564-8559 | 2020-06-17 |
| 1023648011 | Kijuana Boulrece | Counselor | 2948 Artesian Rd Ste 112, Naperville, IL 60564-8559 | 2020-01-19 |
| 1346880549 | Julia Dombrow | Counselor | 2948 Artesian Rd Ste 112, Naperville, IL 60564-8559 | 2020-01-15 |
| 1043850498 | Jennifer Russotiesi | Counselor | 2948 Artesian Rd Ste 112, Naperville, IL 60564-8559 | 2020-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215598842 | Jennifer A Mcgill | Speech-Language Pathologist | Sovereign Pediatric Therapy, 1315 Macom Dr #103, Naperville, IL 60564 | 2019-06-25 |
| 1083187660 | Erin Michelle Hankins | Counselor | 2132 Deep Water Lane, Suite # 240, Naperville, IL 60564 | 2019-01-07 |
| 1851873905 | Helen A Bruckner | Student in an Organized Health Care Education/Training Program | 28w154 Country View Dr., Naperville, IL 60564 | 2018-09-05 |
| 1912483074 | Kristina Kochanova | Psychologist | 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 | 2018-07-12 |
| 1831608397 | Courtney Srum | Speech-Language Pathologist | Graham Elementary School 2315 High Meadow Rd., Naperville, IL 60564 | 2017-09-27 |
| 1447707880 | Isabel Betancourt | Registered Nurse | 1315 Macom Dr Ste 5, Naperville, IL 60564 | 2016-09-01 |
| 1134577802 | Rosa Maria Felix-jones | Massage Therapist | 3420 Lacrosse, Suite 100, Unit 2 & 3, Naperville, IL 60564 | 2016-06-02 |
| 1245618412 | Ian E Evans | Counselor | 2948 Artesian Rd., Suite 112, Naperville, IL 60564 | 2015-05-08 |
| 1093114498 | Sovereign Rehab | Clinic/Center | 1315 Macom Dr. Suite 103, Naperville, IL 60564 | 2014-08-21 |
| 1154745891 | Antonina Rosaria Sullivan | Occupational Therapist | 10350 Brenner Ct, Naperville, IL 60564 | 2014-02-18 |
| Find all providers in zip 60564 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978379 | Youngok Kim | Psychologist | 1260 Iroquois Ave Ste 204, Naperville, IL 60563-8548 | 2020-09-25 |
| 1194366930 | Miranda Meadows | Psychologist | 121 N Washington St Ste 2n, Naperville, IL 60540-4558 | 2019-10-02 |
| 1750854204 | Melissa Geraghty | Psychologist | 750 E Diehl Rd Ste 127, Naperville, IL 60563-2384 | 2019-01-08 |
| 1659852044 | Jesse R Fleck | Psychologist | 212 Elmwood Dr, Naperville, IL 60540-7507 | 2018-08-24 |
| 1174018873 | Debra Gomez and Associates, Inc. | Psychologist | 1607 N Aurora Rd Ste 204, Naperville, IL 60563-2786 | 2018-06-25 |
| 1225491848 | Ashley Marie Rolnik | Psychologist | 3735 Mandeville Ln, Naperville, IL 60564-6130 | 2016-03-31 |
| 1205253762 | Victoria Marks | Psychologist | 475 River Bend Rd Ste 400a, Naperville, IL 60540-5263 | 2014-03-23 |
| 1518208560 | Kyle A Weber Phd LLC | Psychologist | 1555 Naperville Wheaton Road, Suite 201, Naperville, IL 60563 | 2013-03-14 |
| 1255679544 | David Edward Nowak | Psychologist | 143 Pier Ct, Naperville, IL 60565-1476 | 2013-01-22 |
| 1396094959 | Matter Clinical Services, P.C. | Psychologist | 475 River Bend Road, Suite 304, Naperville, IL 60540 | 2012-08-29 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60564 |
Please comment or provide details below to improve the information on DR. SHANNON LEIGH CALVERT OSUCHOWSKI.
| 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.