Organization Active NPI

Shira Galston LLC

Doing business as Shira Galston

  • Marriage & Family Therapist
  • Chicago, IL
National Provider Identifier
1073112595
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SHIRA GALSTON LLC
Doing business as
Shira Galston
Practice address
2941 W Lunt Ave
Chicago, IL 60645-2919
Phone
(917) 855-4994
NPI assigned
Oct 26, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Mrs. Shira Galston, LMFTNPI 1295198513
Title
Practice Owner
Phone
(917) 855-4994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

2941 W Lunt Ave
Chicago, IL 60645-2919

Mailing address

2941 W Lunt Ave
Chicago, IL 60645-2919
Phone (917) 855-4994

Other names 1

  • Shira Galston Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@amitychicago.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1073112595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 W LUNT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452919",
            "telephone_number": "917-855-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 W LUNT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452919",
            "telephone_number": "917-855-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRA GALSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "GALSTON",
        "authorized_official_first_name": "SHIRA",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "917-855-4994",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@amitychicago.com",
            "affiliation": "Y",
            "endpointDescription": "secure google drive address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2941 W Lunt Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606452919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Shira Galston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.