Individual provider Active NPI

Shana Anne Franklin, PHD

  • Psychologist
  • Wilmette, IL
National Provider Identifier
1205478542
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071.010678 Issued in IL
Practice address
3330 Old Glenview Rd Ste 14
Wilmette, IL 60091-2963
Phone
(847) 610-6763
NPI assigned
Oct 8, 2019
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071.010678 IL Primary

Addresses

Primary practice location

3330 Old Glenview Rd Ste 14
Wilmette, IL 60091-2963

Mailing address

1438 W Belmont Ave
Chicago, IL 60657-2150
Phone (312) 508-3645

Other practice location 1

1160 Park Ave W Ste 6E
Highland Park, IL 60035-2271
Phone (847) 241-1195

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071.010678ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Light on Anxiety CurrentSince Mar 31, 2024 Accepting new patients
Chicago Mind Solutions PastSince Sep 25, 2022 Accepting new patients

Locations

3330 Old Glenview Rd
Ste 14
Wilmette, IL 60091
Phone (847) 610-6763

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1205478542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572150",
            "telephone_number": "312-508-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 OLD GLENVIEW RD STE 14",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912963",
            "telephone_number": "847-610-6763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 Park Ave W Ste 6E",
            "address_purpose": "LOCATION",
            "city": "Highland Park",
            "state": "IL",
            "postal_code": "600352271",
            "country_code": "US",
            "telephone_number": "847-241-1195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANKLIN",
        "first_name": "SHANA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.010678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.