Individual provider Active NPI

Sharon Pinto Khurana, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1851815393
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.009450 Issued in IL
Practice address
30 N Michigan Ave Ste 1005
Chicago, IL 60602-3750
Phone
(312) 998-2826
Fax
(312) 380-0261
NPI assigned
Jul 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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 071.009450 IL Primary

Addresses

Primary practice location

30 N Michigan Ave Ste 1005
Chicago, IL 60602-3750

Mailing address

30 N Michigan Ave Ste 1005
Chicago, IL 60602-3750
Phone (312) 998-2826

Other practice location 1

122 S Michigan Ave Ste 1025
Chicago, IL 60603-6264
Phone (312) 998-2826

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

State licenses

LicenseStateTypeSpecialty
071.009450ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1851815393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1005",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023750",
            "telephone_number": "312-998-2826",
            "fax_number": "312-380-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1005",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023750",
            "telephone_number": "312-998-2826",
            "fax_number": "312-380-0261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 S Michigan Ave Ste 1025",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606036264",
            "country_code": "US",
            "telephone_number": "312-998-2826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHURANA",
        "first_name": "SHARON",
        "middle_name": "PINTO",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.