Active NPI
David Shor PH.D. LLC
- Adult Mental Health Clinic/Center
- Skokie, IL
National Provider Identifier
1396426888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- DAVID SHOR PH.D. LLC
- Practice address
- 5225 Old Orchard Rd Ste 30
Skokie, IL 60077-1027 - Phone
- (847) 331-2949
- NPI assigned
- Jul 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Shor, PH.D.
- Title
- President
- Phone
- (847) 331-2949
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
5225 Old Orchard Rd Ste 30
Skokie, IL 60077-1027
Mailing address
5225 Old Orchard Rd Ste 30
Skokie, IL 60077-1027
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Evanston, IL
- NPI 1730398561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690416000000",
"number": "1396426888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 OLD ORCHARD RD STE 30",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 OLD ORCHARD RD STE 30",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771027",
"telephone_number": "847-331-2949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID SHOR PH.D. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-27",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A",
"authorized_official_last_name": "SHOR",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-331-2949",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
- Dav-Kim Portable X Ray Service Co (All-Stat Portable Xray)
- David a. Kanarek, DDS, PC. (Old Orchard Dental Associates)
- David B. Schwartz DDS LTD
- David B. Schwartz, DDS and Associates
- David S. Center DDS LTD
- Ayelet David
- Sean P. David, M.D.
- Zakiya David, PSYD
- Gregory Davidson, D.N.
- Jonathan Scott Davidson, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.