Falguni A Shah, M.ED, LCPC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

180006396 Issued in IL

Practice address

4753 N Broadway St Ste 700
Chicago, IL 60640-4995

Phone

(773) 293-8461

Fax

(773) 728-4751

NPI assigned

Jul 10, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023272903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4753 N BROADWAY ST STE 700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404995",
            "telephone_number": "773-293-8461",
            "fax_number": "773-728-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4753 N BROADWAY ST STE 700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404995",
            "telephone_number": "773-293-8461",
            "fax_number": "773-728-4751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2820 W Peterson Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606593803",
            "country_code": "US",
            "telephone_number": "773-761-0300 x104",
            "fax_number": "773-761-0009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "FALGUNI",
        "middle_name": "A",
        "credential": "M.ED, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.006396",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "180006396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548382690",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devina A Shah, MD
• Dhara Shah
• Dhavan Nilesh Shah, MD
• Dhwani Shah
• Dipak Shah
• Farwah Yawar Ali Shah, MD
• Gianne Francois Shah, LPC, NCC
• Gunjan Shah
• Hamza Shah, OD, MS
• Harendra P. Shah, PA-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.