Active NPI
Stewart Aaron Shankman, PH.D.
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1114106697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Practice address
- 1007 W Harrison St RM 1062D
M/C 285
Chicago, IL 60607-7135 - Phone
- (312) 355-3812
- Fax
- (312) 413-4122
- NPI assigned
- Oct 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | IL | ||
| Clinical Psychologist | 103TC0700X | IL | Primary |
Addresses
Primary practice location
1007 W Harrison St RM 1062D
M/C 285
Chicago, IL 60607-7135
Mailing address
1007 W Harrison St RM 1062D
M/C 285
Chicago, IL 60607-7135
Phone (312) 355-3812
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1114106697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 W HARRISON ST RM 1062D",
"address_2": "M/C 285",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606077135",
"telephone_number": "312-355-3812",
"fax_number": "312-413-4122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 W HARRISON ST RM 1062D",
"address_2": "M/C 285",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606077135",
"telephone_number": "312-355-3812",
"fax_number": "312-413-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANKMAN",
"first_name": "STEWART",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-31",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.