Individual provider Active NPI

Shana Muslin, PH.D.

  • Clinical Neuropsychologist
  • Oak Brook, IL
National Provider Identifier
1689568271
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
071.011455 Issued in IL
Practice address
2021 Midwest Rd Ste 104
Oak Brook, IL 60523-1396
Phone
(630) 280-8173
NPI assigned
Jun 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 071.011455 IL Primary

Addresses

Primary practice location

2021 Midwest Rd Ste 104
Oak Brook, IL 60523-1396

Mailing address

2823 W Belmont Ave Apt 306
Chicago, IL 60618-5890
Phone (510) 847-1312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250729003879 IL Practitioner - Clinical Psychologist 0244747756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anthony Tucci PHD LLCGroup PAC ID 8628408671, 5 clinicians

Practice addresses (Care Compare)

2021 Midwest Rd
Suite 104
Oak Brook, IL 60523-1396
Phone (630) 280-8173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071.011455ILMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Tucci PHD LLC Clinical Neuropsychologist CurrentSince Aug 1, 2025 Accepting new patients

Locations

939 W North Ave
Ste 750
Chicago, IL 60642
Phone (312) 761-5478

2021 Midwest Rd
Ste 104
Oak Brook, IL 60523
Phone (630) 280-8173

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1689568271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 W BELMONT AVE APT 306",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185890",
            "telephone_number": "510-847-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 MIDWEST RD STE 104",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231396",
            "telephone_number": "630-280-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSLIN",
        "first_name": "SHANA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071.011455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.