Nathaly Bassam Shammo

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.117659 Issued in IL

Practice address

191 Waukegan Rd Ste 208
Northfield, IL 60093-2743

Phone

(847) 329-9210

NPI assigned

Feb 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Gersten & Associates

  • Family Psychologist
  • Melrose Park, IL
  • NPI 1679791255
  NPD (past)
• Illinois Behavioral Health Group, P.C.

  • Clinical Psychologist
  • Skokie, IL
  • NPI 1881392678
  NPD (past)

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1508498304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 WAUKEGAN RD STE 208",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600932743",
            "telephone_number": "847-329-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 WAUKEGAN RD STE 208",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600932743",
            "telephone_number": "847-329-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMMO",
        "first_name": "NATHALY",
        "middle_name": "BASSAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.117659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Paul Selvig, PSY.D.
• Matthew Serafin, MD
• Marie-Pierre Sernatinger, LCPC
• Sara Lorraine Serota, FNP
• Roshni Shah, PSYD
• Lauren J. Shapiro, PSY.D.
• Susan Shapiro, MD
• Sharon Fisch-Reichler, PLLC
• Sharon Healthcare Willows Inc
• Geoffrey Sydney Shaw, MD

• Social Worker in Northfield, IL
• Providers in Northfield, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.