Organization Active NPI

Shalini Varma MD

  • Psychiatry Physician
  • Vernon Hills, IL
National Provider Identifier
1487184420
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SHALINI VARMA MD
Practice address
270 Center Dr
Vernon Hills, IL 60061-1564
Phone
(224) 612-2348
NPI assigned
Jun 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Jamie Schafer
Title
Patient Services
Phone
(262) 842-2877

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

270 Center Dr
Vernon Hills, IL 60061-1564

Mailing address

3715 Washington Rd
Kenosha, WI 53144-1629
Phone (262) 842-2877

Other practice location 1

7400 60th Ave Ste B
Kenosha, WI 53142-3541
Phone (224) 612-2348

Other names 1

  • Open Life Health Doing business as

National Provider Directory

National Provider Directory

Locations

270 Center Dr
Vernon Hills, IL 60061
Phone (224) 612-2348

7400 60th Ave
Ste B
Kenosha, WI 53142
Phone (224) 612-2348

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1487184420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 WASHINGTON RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441629",
            "telephone_number": "262-842-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 CENTER DR",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611564",
            "telephone_number": "224-612-2348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 60th Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531423541",
            "country_code": "US",
            "telephone_number": "224-612-2348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHALINI VARMA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SCHAFER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PATIENT SERVICES",
        "authorized_official_telephone_number": "262-842-2877"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Life Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Open Life Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.