J. Shoshana and Associates, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-005603 Issued in IL

Legal business name

J. SHOSHANA AND ASSOCIATES, LLC

Doing business as

J. Shoshana & Assoc., LLC

Practice address

1016 W Jackson Blvd Ste 203
Chicago, IL 60607-2914

Phone

(847) 670-8544

NPI assigned

Jan 28, 2009

Last updated

Dec 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Shoshana, PSY.D.

Title

Owner-Member

Phone

(847) 670-8544

Specialties & licenses 1

Addresses

Other names 1

• J. Shoshana & Assoc., LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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.

• Yosef Shoshana, PSYD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1154462885
  Medicare reassignment NPD

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1386882421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 W JACKSON BLVD STE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072914",
            "telephone_number": "847-670-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 W JACKSON BLVD STE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072914",
            "telephone_number": "847-670-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. SHOSHANA AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "SHOSHANA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER-MEMBER",
        "authorized_official_telephone_number": "847-670-8544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J. Shoshana & Assoc., LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "J. Shoshana & Assoc., LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.