Rachel K Shannon, PH.D. LTD

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

166-000370 Issued in IL

Legal business name

RACHEL K SHANNON, PH.D. LTD

Practice address

715 E Golf Rd Ste 201B
Schaumburg, IL 60173-4500

Phone

(847) 867-2265

NPI assigned

Feb 11, 2009

Organization subpart

No

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

Authorized official

Name

Rachel K Shannon, PH.D.

Title

Owner

Phone

(847) 867-2265

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel K Shannon, LTD., PH.D.

  • Marriage & Family Therapist
  • Schaumburg, IL
  • NPI 1326244633
  NPD (past)

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1174762348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E GOLF RD STE 201B",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734500",
            "telephone_number": "847-867-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E GOLF RD STE 201B",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734500",
            "telephone_number": "847-867-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL K SHANNON, PH.D. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-867-2265",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "166-000370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.