Active NPI
Yosef Shoshana, PSYD
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1154462885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071005603
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J. Shoshana and Associates, LLC | Clinical | Current | 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.
-
- Clinical Psychologist
- Chicago, IL
- NPI 1386882421
-
- Hematology & Oncology Physician
- Lake Forest, IL
- NPI 1649460767
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.