Shira Galston

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.001305 Issued in IL

Practice address

5100 N Ravenswood Ave
Chicago, IL 60640-1710

Phone

(917) 855-4994

NPI assigned

Apr 4, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shira Galston LLC

  • Marriage & Family Therapist
  • Chicago, IL
  • NPI 1073112595
  NPD Authorized official

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564876800000",
    "number": "1295198513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 W LUNT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452919",
            "telephone_number": "917-855-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N RAVENSWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401710",
            "telephone_number": "917-855-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALSTON",
        "first_name": "SHIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2019-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "208.000484",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Jordan Gallub, OTR/L
• Mia Galluch, FNP
• Christine A Gallup, MS RD LDN
• Gabriella Noel Galluzzo
• Raymond M Galocy
• Brittney Nicole Galtney
• Sandra E Galvan Valdovinos, MA, ALMFT
• Alexandra Lisette Galvan, LSW
• Cristina Galvan
• Kate Jillian Galvan, MD

• All providers in Chicago, IL
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2019; 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.