NPIMap

Individual provider Active NPI

Shaden Kassar

  • Behavior Analyst
  • Burr Ridge, IL
National Provider Identifier
1548632383
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
124 Kraml Dr
Burr Ridge, IL 60527-0303
Phone
(630) 631-9623
Fax
(630) 920-0522
NPI assigned
Oct 20, 2015
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

124 Kraml Dr
Burr Ridge, IL 60527-0303

Mailing address

124 Kraml Dr
Burr Ridge, IL 60527-0303
Phone (630) 631-9623

Other practice location 1

3737 E Turney Ave Unit 110
Phoenix, AZ 85018-4041
Phone (630) 631-9623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Asd Life Inc. Current Accepting new patients
Autism Clinic Corp PastSince Apr 11, 2021 Accepting new patients
Autism Behavior Therapy Behavior Analyst PastSince Jun 25, 2023 Accepting new patients
Playthinks Behavior Analyst Past Accepting new patients
Autism Behavior Therapy Behavior Analyst Past Accepting new patients

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1548632383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 KRAML DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270303",
            "telephone_number": "630-631-9623",
            "fax_number": "630-920-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 KRAML DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270303",
            "telephone_number": "630-631-9623",
            "fax_number": "630-920-0522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3737 E Turney Ave Unit 110",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850184041",
            "country_code": "US",
            "telephone_number": "630-631-9623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASSAR",
        "first_name": "SHADEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.