Individual provider Active NPI

Janelle Shinhoster, PSY.D.

  • Clinical Psychologist
  • Winfield, IL
National Provider Identifier
1104358035
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009278 Issued in IL
Practice address
1N141 County Farm Rd
Suite 130
Winfield, IL 60190-2032
Phone
(630) 752-9725
Fax
(630) 752-9726
NPI assigned
Mar 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071009278 IL Primary

Addresses

Primary practice location

1N141 County Farm Rd
Suite 130
Winfield, IL 60190-2032

Mailing address

PO Box 239
Winfield, IL 60190-0239
Phone (630) 752-9725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071009278ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nickerson & Associates, P.C. Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1104358035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 239",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601900239",
            "telephone_number": "630-752-9725",
            "fax_number": "630-752-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1N141 COUNTY FARM RD",
            "address_2": "SUITE 130",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601902032",
            "telephone_number": "630-752-9725",
            "fax_number": "630-752-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINHOSTER",
        "first_name": "JANELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.