Collin Steele Shotts, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.010629 Issued in IL

Practice address

1200 Harger Rd Ste 600
Oak Brook, IL 60523-1820

Phone

(630) 571-5750

NPI assigned

Oct 7, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Adam Shafer, P.C.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1659804003
  NPD (past)
• Shared Vision Psychological Services

  • Clinical Psychologist
  • Oak Brook, IL
  • NPI 1275738130
  NPD (past)

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1104588029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 W 21ST ST APT 206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HARGER RD STE 600",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231820",
            "telephone_number": "630-571-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOTTS",
        "first_name": "COLLIN",
        "middle_name": "STEELE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Pier, MSW, LCSW
• Robert Burns Shelton Jr., PH.D.
• Rhianna D Sherlock
• Sandhya Jayaram Shetty, P.T.
• Wilhelmina M Shoger, PHD
• Shukla Clinical, LLC
• Arvind Shukla, M.B.B.S.
• Ravi Shukla, O.D.
• Jeffery Siddall
• Pamela A Signorella, L AC

• Clinical Psychologist in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.