Organization Active NPI

Shamsi Psychological Services, PLLC

  • Clinical Psychologist
  • River Forest, IL
National Provider Identifier
1326751405
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SHAMSI PSYCHOLOGICAL SERVICES, PLLC
Practice address
7627 Lake St
Ste 206 #A90
River Forest, IL 60305-1878
Phone
(773) 234-5644
NPI assigned
Jan 3, 2023
Last updated
Nov 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Dr. Tabish Shamsi, PSYDNPI 1922463215
Title
Member
Phone
(773) 234-8349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

7627 Lake St
Ste 206 #A90
River Forest, IL 60305-1878

Mailing address

7627 Lake St
Ste 206 #A90
River Forest, IL 60305-1878
Phone (773) 234-5644

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1326751405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7627 LAKE ST",
            "address_2": "STE 206 #A90",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051878",
            "telephone_number": "773-234-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7627 LAKE ST",
            "address_2": "STE 206 #A90",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051878",
            "telephone_number": "773-234-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMSI PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "SHAMSI",
        "authorized_official_first_name": "TABISH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "773-234-8349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.