Organization Active NPI

Sknisius LLC

  • Clinical Psychologist
  • Schaumburg, IL
National Provider Identifier
1295073369
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.004241 Issued in IL
Legal business name
SKNISIUS LLC
Practice address
1340 Remington Rd Ste T
Schaumburg, IL 60173-4821
Phone
(224) 251-0084
NPI assigned
Jan 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Dr. Sharon K. Nisius, PSY.D.
Title
Owner
Phone
(224) 251-0084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071.004241 IL Primary

Addresses

Primary practice location

1340 Remington Rd Ste T
Schaumburg, IL 60173-4821

Mailing address

36 W Fern CT
Palatine, IL 60067-7195
Phone (224) 251-0084

National Provider Directory

National Provider Directory

Locations

1340 Remington Rd
Ste T
Schaumburg, IL 60173
Phone (773) 259-4239

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1295073369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 W FERN CT",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677195",
            "telephone_number": "224-251-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 REMINGTON RD STE T",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734821",
            "telephone_number": "224-251-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKNISIUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "NISIUS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-251-0084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.004241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.