Nicole Shin Young Shin

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

855 Lake St Apt 208
Oak Park, IL 60301-1373

Phone

(708) 668-5659

NPI assigned

Apr 28, 2026

Sex

Female

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

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1124964218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 LAKE ST APT 208",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011373",
            "telephone_number": "708-668-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 LAKE ST APT 208",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011373",
            "telephone_number": "708-668-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "NICOLE SHIN",
        "middle_name": "YOUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen E. Sherrell, PSYD
• Tingqi Shi, MD
• Kathleen Margaret Shields
• Shifa Living, LLC
• Jessica Shimp
• Yukiko Shiraishi, PH.D.
• Megan Shishman, CF-SLP
• Cara L Shoss, O.T.
• SHPS PLLC
• Christina Shrader

• Student in an Organized Health Care Education/Training Program in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Student in an Organized Health Care Education/Training Program in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.