Individual provider Active NPI

Yosef Shoshana, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1154462885
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071005603 Issued in IL
Practice address
1016 W Jackson Blvd Ste 203
Chicago, IL 60607-2914
Phone
(847) 670-8544
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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 071005603 IL Primary

Addresses

Primary practice location

1016 W Jackson Blvd Ste 203
Chicago, IL 60607-2914

Mailing address

1016 W Jackson Blvd Ste 203
Chicago, IL 60607-2914
Phone (847) 670-8544

Other names 1

  • Mr. Joseph Shoshana Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090318000081 IL Practitioner - Clinical Psychologist 8820154347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1016 W Jackson Blvd
Suite 203
Chicago, IL 60607-2914
Phone (847) 670-8544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
J. Shoshana and Associates, LLC Clinical CurrentSince Feb 1, 1998 Accepting new patients
Victoria Kut MD LTD Past Accepting new patients

Locations

3800 N Wilke Rd
Ste 160
Arlington Hts, IL 60004
Phone (847) 686-2222

1016 W Jackson Blvd
Chicago, IL 60607
Phone (773) 217-0363

Organizations & group practices 2

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1154462885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 W JACKSON BLVD STE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072914",
            "telephone_number": "847-670-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 W JACKSON BLVD STE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072914",
            "telephone_number": "847-670-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOSHANA",
        "first_name": "YOSEF",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "SHOSHANA",
            "prefix": "MR.",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.