Individual provider Active NPI

Shawna Brough, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1811547342
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.011116 Issued in IL
Practice address
5215 N Ravenswood Ave Ste 212
Chicago, IL 60640-1670
Phone
(872) 205-9931
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.011116 IL Primary

Addresses

Primary practice location

5215 N Ravenswood Ave Ste 212
Chicago, IL 60640-1670

Mailing address

5215 N Ravenswood Ave Ste 212
Chicago, IL 60640-1670
Phone (872) 205-9931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX, NM, GA, RI, MO, PA, CO8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20240326003259 IL Practitioner - Clinical Psychologist 6507203585 Reassigns benefits to 1 organization
I20241106002979 TX Practitioner - Clinical Psychologist 6507203585 Reassigns benefits to 1 organization
I20250111000113 NM Practitioner - Clinical Psychologist 6507203585
I20250129000728 GA Practitioner - Clinical Psychologist 6507203585
I20250226002556 RI Practitioner - Clinical Psychologist 6507203585
I20250324000733 MO Practitioner - Clinical Psychologist 6507203585
I20250512002178 PA Practitioner - Clinical Psychologist 6507203585 Reassigns benefits to 1 organization
I20250709002072 CO Practitioner - Clinical Psychologist 6507203585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nexumhc Consultants, PLLCGroup PAC ID 5698134005, 13 clinicians

Practice addresses (Care Compare)

5900 Balcones Dr
Suite 100
Austin, TX 78731-4298
Phone (773) 945-1994

7373 N Lincoln Ave
Lincolnwood, IL 60712-1704
Phone (773) 945-1994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.011116ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
In Pursuit Psychological Services, PLLC Clinical CurrentSince Mar 23, 2025 Accepting new patients
Nexumhc NM Clinical CurrentSince Nov 24, 2024 Accepting new patients
Nexumhc TX LLC CurrentSince Oct 1, 2024 Accepting new patients
Nexumhc Consultants, PLLC CurrentSince Feb 12, 2024 Accepting new patients
Nexumhc Mo Clinical CurrentSince Jan 11, 2025 Accepting new patients
Indivisible Psychology PLLC Clinical Current Accepting new patients
Nexumhc Ri Clinical CurrentSince Jan 11, 2025 Accepting new patients
Nexumhc Ga Clinical CurrentSince Nov 5, 2024 Accepting new patients
Nexum HC Co PLLC Clinical CurrentSince May 13, 2025 Accepting new patients

Locations

1942 Broadway
Ste 314C
Boulder, CO 80302
Phone (719) 203-1465

8735 Dunwoody Pl
Ste N
Sandy Springs, GA 30350
Phone (561) 293-3439

5215 N Ravenswood Ave
Ste 212
Chicago, IL 60640
Phone (312) 650-9025

7373 N Lincoln Ave
Ste 400
Lincolnwood, IL 60712
Phone (219) 805-3593

7373 N Lincoln Ave
Lincolnwood, IL 60712
Phone (773) 887-6150

117 S Lexington St
Ste 100
Harrisonville, MO 64701
Phone (844) 902-2554

1209 Mountain Road Pl NE
Ste N
Albuquerque, NM 87110
Phone (505) 295-3110

47 Wood Ave
Ste 2
Barrington, RI 02806
Phone (401) 217-2388

5900 Balcones Dr
Ste 100
Austin, TX 78731

Organizations & group practices 9

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": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1811547342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 N RAVENSWOOD AVE STE 212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401670",
            "telephone_number": "872-205-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 N RAVENSWOOD AVE STE 212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401670",
            "telephone_number": "872-205-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUGH",
        "first_name": "SHAWNA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.011116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.