Shifa Psychiatry, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036109759 Issued in IL

Legal business name

SHIFA PSYCHIATRY, INC

Practice address

900 Technology Way
Libertyville, IL 60048-5364

Phone

(847) 680-2715

Fax

(847) 680-3832

NPI assigned

May 29, 2009

Last updated

Apr 26, 2021By 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

Shazia Tayyab, MDNPI 1871695932

Title

Psychiatrist

Phone

(847) 680-2715

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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.

• Shazia Tayyab, PSYD . MD

  • Child & Adolescent Psychiatry Physician
  • Libertyville, IL
  • NPI 1871695932
  Medicare reassignment NPD Authorized official
• Qurat Ul Ain Khan

  • Psychiatry Physician
  • Libertyville, IL
  • NPI 1487817128
  NPD
• Emily Korman

  • Social Worker
  • Libertyville, IL
  • NPI 1306626668
  NPD

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1437384856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31480 N US HIGHWAY 45",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489444",
            "telephone_number": "847-680-2715",
            "fax_number": "847-680-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 TECHNOLOGY WAY",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485364",
            "telephone_number": "847-680-2715",
            "fax_number": "847-680-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFA PSYCHIATRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "TAYYAB",
        "authorized_official_first_name": "SHAZIA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "847-680-2715",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036109759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Shea
• Sheffer Psychological Services, PLLC
• Erin Sheffer
• Corey M Shenk, M.A., L.P.C.
• Ami Sheth, MD
• Monica Shifman, MD
• Diane Shin
• Yury M Shklyar, M.D.
• Michael Shoemake, PT
• Paul Frederick Showers, DDS MS

• Psychiatry Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.