Sheila McCowan Donovan, PH.D., M.S.W.
Individual provider Active NPI Clinical Psychologist · Chicago, IL
NPI 1487709697 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487709697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Practice address
- 1640 W Roosevelt Rd
Chicago, IL 60608-1316 - Phone
- (312) 996-0932
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071007040 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autumn Healthcare of Illinois | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | IL | Yes |
Addresses
Primary practice location
1640 W Roosevelt Rd
Chicago, IL 60608-1316
Mailing address
4950 N Winchester Ave
Chicago, IL 60640-4099
Phone (773) 506-2237
Other providers in Chicago, IL
- Susan N Donohue
- Allison Donovan
- Erin Donovan
- Kayla Donovan
- Mitchel Donovan
- Terrence P. Donovan
- Trang Vu Donovan
- Robert F Dons
- Kerry Anne Dontchos
- Donteria Enterprise LLC
All providers in Chicago, IL · Clinical Psychologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.