Individual provider Active NPI

Shetal Amin, MD

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1982135067
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036164120 Issued in IL
Practice address
676 N Saint Clair St Ste 1100
Chicago, IL 60611-2954
Phone
(312) 695-5060
Fax
(312) 695-5010
NPI assigned
Mar 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036164120 IL Primary
Addiction Psychiatry Physician 2084P0802X S1334 TX
Psychiatry Physician 2084P0800X S1334 TX

Addresses

Primary practice location

676 N Saint Clair St Ste 1100
Chicago, IL 60611-2954

Mailing address

676 N Saint Clair St Ste 1100
Chicago, IL 60611-2954
Phone (312) 695-5060

Other practice location 1

3701 Doty Rd
Woodstock, IL 60098-7509
Phone (312) 695-5060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, WA, WI, NJ, VA, PA, AZ, CA9 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20201230000235 TX Practitioner - Psychiatry 6406269901 Reassigns benefits to 3 organizations
I20231206002022 IL Practitioner - Psychiatry 6406269901 Reassigns benefits to 6 organizations
I20250103001753 WA Practitioner - Psychiatry 6406269901 Reassigns benefits to 1 organization
I20250124000181 WI Practitioner - Psychiatry 6406269901 Reassigns benefits to 2 organizations
I20250306000116 NJ Practitioner - Psychiatry 6406269901 Reassigns benefits to 1 organization
I20250310003490 VA Practitioner - Psychiatry 6406269901 Reassigns benefits to 1 organization
I20250506003002 PA Practitioner - Psychiatry 6406269901 Reassigns benefits to 1 organization
I20250625003948 AZ Practitioner - Psychiatry 6406269901 Reassigns benefits to 1 organization
I20250708003607 CA Practitioner - PsychiatryPractitioner - Neurology 6406269901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Meharry Medical College School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

676 N Saint Clair St
Suite 1100
Chicago, IL 60611-2954
Phone (312) 695-5060

Hospital & facility affiliations

  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S1334TXMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation CurrentSince Jan 21, 2025 Accepting new patients
Forefront-Rush Medical Service PA Psychiatry CurrentSince Aug 3, 2025 Accepting new patients
Central Dupage Physician Group CurrentSince Nov 15, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Jun 1, 2022 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Central Dupage Physician Group CurrentSince Nov 15, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Nov 12, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 1, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Jun 1, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Nov 12, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 1, 2025 Accepting new patients
Rockford Health Physicians CurrentSince Nov 12, 2023 Accepting new patients
Access Telecare California, P.C. Psychiatry CurrentSince Feb 10, 2024 Accepting new patients
St. Vincent Hospital PastSince Jul 14, 2024 Accepting new patients
Ap US 14, PA PastSince Oct 15, 2023 Accepting new patients
Kootenai Health, Inc. Psychiatry Past Accepting new patients
Tele-Physicians, P.C. Psychiatry Past Accepting new patients
Baylor College of Medicine Past Accepting new patients
Shannon Medical Center Past Accepting new patients

Locations (25 of 28)

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Dept 5777
Carol Stream, IL 60122

676 N Saint Clair St
Ste 1100
Chicago, IL 60611

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

3701 Doty Rd
Woodstock, IL 60098
Phone (815) 334-3170

1901 Medi Park Dr
Ste 2058
Amarillo, TX 79106
Phone (806) 354-9540

1901 Medi Park Dr
Ste 219
Amarillo, TX 79106
Phone (806) 356-7744

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

1502 Taub Loop
Houston, TX 77030
Phone (713) 873-4900

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

Interoperability endpoints

  • Direct secure messaging: samin21946@direct.svmh.com

Organizations & group practices 20

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

View all 20

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1982135067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 1100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112954",
            "telephone_number": "312-695-5060",
            "fax_number": "312-695-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 1100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112954",
            "telephone_number": "312-695-5060",
            "fax_number": "312-695-5010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 Doty Rd",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "IL",
            "postal_code": "600987509",
            "country_code": "US",
            "telephone_number": "312-695-5060",
            "fax_number": "312-695-5010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMIN",
        "first_name": "SHETAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036164120",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "TX",
            "license": "S1334",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "S1334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.