Organization Active NPI

Sheila a. Boender, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orland Park, IL
National Provider Identifier
1720223340
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
180003880 Issued in IL
Legal business name
SHEILA A. BOENDER, INC
Practice address
9721 165TH St Ste 23
Orland Park, IL 60467-4511
Phone
(708) 602-9425
Fax
(708) 694-9435
NPI assigned
Dec 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Sheila Adele Boender, MA, LCPCNPI 1770612137
Title
President
Phone
(708) 602-9425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 180003880 IL Primary

Addresses

Primary practice location

9721 165TH St Ste 23
Orland Park, IL 60467-4511

Mailing address

9721 165TH St Ste 23
Orland Park, IL 60467-4511
Phone (708) 602-9425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240820002293 IL Part B Supplier - Clinic/Group Practice 4082152129 Receives reassigned benefits from 1 practitioner
Practice locations: Orland Park, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1720223340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 165TH ST STE 23",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674511",
            "telephone_number": "708-602-9425",
            "fax_number": "708-694-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9721 165TH ST STE 23",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674511",
            "telephone_number": "708-602-9425",
            "fax_number": "708-694-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILA A. BOENDER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "BOENDER",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "ADELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-602-9425",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "180003880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.