Individual provider Active NPI

Hanneh Samira Shiheiber, BCBA

  • Behavior Analyst
  • Chicago, IL
National Provider Identifier
1932888450
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-66485 Issued in IL
Practice address
1422 W Willow St Ste 101
Chicago, IL 60642-8977
Phone
(773) 692-8945
NPI assigned
Jul 12, 2023
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-23-66485 IL Primary

Addresses

Primary practice location

1422 W Willow St Ste 101
Chicago, IL 60642-8977

Mailing address

1422 W Willow St Ste 101
Chicago, IL 60642-8977

Other practice location 1

5550 Touhy Ave Ste 210
Skokie, IL 60077-3254
Phone (312) 469-0637

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

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1932888450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 W WILLOW ST STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606428977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 W WILLOW ST STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606428977",
            "telephone_number": "773-692-8945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5550 Touhy Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600773254",
            "country_code": "US",
            "telephone_number": "312-469-0637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIHEIBER",
        "first_name": "HANNEH",
        "middle_name": "SAMIRA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-23-66485",
            "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 Dec 13, 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.