Neurowellness, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NEUROWELLNESS, LLC

Doing business as

Neurowellness

Practice address

2835 N Sheffield Ave Ste 202
Chicago, IL 60657-5083

Phone

(773) 389-4600

Fax

(773) 938-4700

NPI assigned

Oct 3, 2017

Last updated

Jul 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Shoemaker, PSY.D.NPI 1700136850

Title

Licensed Clinical Psychologist

Phone

(773) 746-7001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Neurowellness Doing business as

Practitioners 1

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.

• Melissa Shoemaker, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1700136850
  NPD Authorized official

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1790295848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 N LAKEWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143629",
            "telephone_number": "773-746-7001",
            "fax_number": "773-938-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 N SHEFFIELD AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575083",
            "telephone_number": "773-389-4600",
            "fax_number": "773-938-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROWELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-746-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATIONS",
            "identifier": "071008951",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurowellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Erin Irene Neuschler, M.D.
• Leora Neusner
• Lauren Neustadt
• Alexander J Neuville, MD

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.