Nicholas Shea PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036123263 Issued in IL

Legal business name

NICHOLAS SHEA PC

Practice address

2045 W Grand Ave Ste B
PMB 82557
Chicago, IL 60612-1577

Phone

(312) 268-4070

Fax

(312) 277-1042

NPI assigned

Sep 19, 2012

Organization subpart

No

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

Authorized official

Name

Nicholas Joseph Shea, MDNPI 1942457882

Title

Owner, Nicholas Shea, PC & Provider

Phone

(312) 268-4070

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Nicholas Joseph Shea, M.D.

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1942457882
  NPD Authorized official

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1285984047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE",
            "address_2": "SUITE 350",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017401",
            "telephone_number": "312-268-4070",
            "fax_number": "312-423-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B",
            "address_2": "PMB 82557",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121577",
            "telephone_number": "312-268-4070",
            "fax_number": "312-277-1042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 N Michigan Ave",
            "address_2": "Suite 350",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606017401",
            "country_code": "US",
            "telephone_number": "312-268-4070",
            "fax_number": "312-423-6695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NICHOLAS SHEA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER, NICHOLAS SHEA, PC & PROVIDER",
        "authorized_official_telephone_number": "312-268-4070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036123263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1942457882",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nice Physical Therapy Group, PLLC
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• Nicholas Hatzis, MD
• Nicholas M. McCarley, PLLC
• Kaliqa Nicholas
• Katina Danica Nicholas
• Sherise Nicholas, LSW
• Allison R. Nichols, LCSW
• Anthony Richard Nichols

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.