Shining Light Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SHINING LIGHT THERAPY

Practice address

522 N Ashland Ave Apt 2
Chicago, IL 60622-6337

Phone

(847) 508-6135

NPI assigned

Oct 9, 2023

Organization subpart

No

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

Authorized official

Name

Alexandra Pickman, MS, CCC-SLPNPI 1962802868

Title

Speech Language Pathologist

Phone

(847) 508-6135

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandra Pickman

  • Speech-Language Pathologist
  • Chicago, IL
  • NPI 1962802868
  NPD Authorized official

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1902687627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N ASHLAND AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226337",
            "telephone_number": "847-508-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N ASHLAND AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226337",
            "telephone_number": "847-508-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING LIGHT THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "PICKMAN",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "847-508-6135",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josette Shine, LCPC
• Rachel Shine
• Jill Eden Shiner
• Suresh Vrajlal Shingala, MD
• Shining Bright Wellness PLLC
• Susan M Shinkus, RN
• Daniel Jinsup Shinn
• Peter Cuauhtemoc Shinnick, PHARMD
• Zak Andre Shinton, MD
• Shiny Smiles Inc

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.