Individual provider Active NPI

Deepti Shenoi, M.D.

  • Psychiatry Physician
  • Wheaton, IL
National Provider Identifier
1396935110
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036124166 Issued in IL
Practice address
1761 S Naperville Rd
Suite 200
Wheaton, IL 60189-5846
Phone
(630) 260-0606
Fax
(630) 260-1049
NPI assigned
Jul 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036124166 IL Primary

Addresses

Primary practice location

1761 S Naperville Rd
Suite 200
Wheaton, IL 60189-5846

Mailing address

1761 S Naperville Rd
Suite 200
Wheaton, IL 60189-5846
Phone (630) 260-0606

Other names 1

  • Deepti Singh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160826001847 IL Practitioner - Psychiatry 9830313857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Washington University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stillpoint Mental Health Associates SCGroup PAC ID 5991795189, 8 clinicians

Practice addresses (Care Compare)

201 E Ogden Ave
Hinsdale, IL 60521-3655
Phone 6303258893111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036124166ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stillpoint Mental Health Associates, S.C. Psychiatry CurrentSince Oct 1, 2016 Accepting new patients
Summit Clinical Services PC Psychiatry PastSince Jan 1, 1994 Accepting new patients
Stillpoint Mental Health Associates, SC Past Accepting new patients

Locations

201 E Ogden Ave
Ste 116
Hinsdale, IL 60521
Phone (630) 325-8893

201 E Ogden Ave
Ste 1
Hinsdale, IL 60521

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1396935110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 S NAPERVILLE RD",
            "address_2": "SUITE 200",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601895846",
            "telephone_number": "630-260-0606",
            "fax_number": "630-260-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 S NAPERVILLE RD",
            "address_2": "SUITE 200",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601895846",
            "telephone_number": "630-260-0606",
            "fax_number": "630-260-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENOI",
        "first_name": "DEEPTI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036124166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEEPTI",
            "last_name": "SINGH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.