Shannon S. Doyle, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

11 W College Dr
Suite B
Arlington Heights, IL 60004-1900

Phone

(847) 814-9447

NPI assigned

Jun 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861694465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W COLLEGE DR",
            "address_2": "SUITE B",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041900",
            "telephone_number": "847-814-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W COLLEGE DR",
            "address_2": "SUITE B",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041900",
            "telephone_number": "847-814-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "SHANNON",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "1623145",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Dorsey, APN-CNP
• Andrea M Doshi, M.A., CCC-SLP/L
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• Dr. Palermo and Associates, LTD

• Psychologist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.