Individual provider Active NPI

Christina Shim Deli

  • Marriage & Family Therapist
  • Carol Stream, IL
National Provider Identifier
1588044127
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
336 Gundersen Dr
Carol Stream, IL 60188-2403
Phone
(630) 871-2100
Fax
(630) 588-0824
NPI assigned
Jun 8, 2015
Last updated
Nov 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

336 Gundersen Dr
Carol Stream, IL 60188-2403

Mailing address

122 W Liberty Dr
Wheaton, IL 60187-5124

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
Outreach Community Ministries Inc Marriage & Family Therapist PastSince Apr 1, 2026 Accepting new patients
Outreach Carol Stream Marriage & Family Therapist Past Accepting new patients
Outreach Wheaton Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1588044127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W LIBERTY DR",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 GUNDERSEN DR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882403",
            "telephone_number": "630-871-2100",
            "fax_number": "630-588-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELI",
        "first_name": "CHRISTINA",
        "middle_name": "SHIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.