Alicia Crossland Shapinsky, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.007940 Issued in IL

Practice address

2921 Greenbriar Dr Ste B1
Springfield, IL 62704-6440

Phone

(217) 546-3118

NPI assigned

Sep 26, 2012

Reactivated

Oct 21, 2016

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychological Services of Central Illinois PCGroup PAC ID 5193722452, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychological Services of Central Illinois, P.C.

  • Clinical Psychologist
  • Springfield, IL
  • NPI 1245281583
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1952652331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 S 6TH STREET RD",
            "address_2": "SUITE 1700",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035771",
            "telephone_number": "217-525-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 GREENBRIAR DR STE B1",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046440",
            "telephone_number": "217-546-3118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5220 S 6th Street Rd",
            "address_2": "Suite 1700",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627035771",
            "country_code": "US",
            "telephone_number": "217-525-8332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAPINSKY",
        "first_name": "ALICIA",
        "middle_name": "CROSSLAND",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2018-03-17",
        "deactivation_date": "2015-09-02",
        "reactivation_date": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahed Mohammad Shams, M.D.
• Tanveer Shan, M.D.,
• Unknown Shana Parveen
• Ziad Shannis, DDS
• Enas Mohamed Shanshen, MD
• Ankit Sharma, M.D., M.H.A.
• Arun Sharma, M.D.
• Lokesh Raj Sharma, M.D.
• Pranav Sharma, MD
• Ragini Sharma, MD

• Clinical Psychologist in Springfield, IL
• Providers in Springfield, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.