Shanti and Wellness LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SHANTI AND WELLNESS LLC

Practice address

6416 N Ridgeway Ave
Lincolnwood, IL 60712-4028

Phone

(773) 866-1222

NPI assigned

Apr 20, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Avi Verma

Title

Founder

Phone

(773) 866-1222

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1881338416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 N RIDGEWAY AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607124028",
            "telephone_number": "773-866-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 N RIDGEWAY AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607124028",
            "telephone_number": "773-866-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANTI AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "VERMA",
        "authorized_official_first_name": "AVI",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "773-866-1222",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Theranest",
            "affiliation": "N",
            "endpointDescription": "Online EMR software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "internal",
            "address_1": "6416 N Ridgeway Ave",
            "city": "Lincolnwood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "607124028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shahriar Dadkhah MD SC (Garcia, Rosenberg & Associates)
• Shahriar Dadkhah, MD, SC (MidAmerica Medical Associates)
• Rahil Ismail Shaikh, M.D.
• Jeffrey Shane
• Paige Erin Shane
• Thomas Shao
• Roza Sharain
• Ruhi R Shariff, MD
• Elias Fady Sharshar, BA, RBT
• Maureen Ann Shayman

• Psychologist in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.