Organization Active NPI

Sinha Clinic SC

  • Clinical Psychologist
  • St Charles, IL
National Provider Identifier
1982887352
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
336049890 Issued in IL
Legal business name
SINHA CLINIC SC
Practice address
1400 Lincoln Hwy
Suite C
St Charles, IL 60174-3580
Phone
(630) 762-9606
Fax
(630) 762-9605
NPI assigned
Dec 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Shobha B Sinha, MDNPI 1700962461
Title
Owner
Phone
(630) 762-9606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 336049890 IL Primary

Addresses

Primary practice location

1400 Lincoln Hwy
Suite C
St Charles, IL 60174-3580

Mailing address

1400 Lincoln Hwy
Suite C
St Charles, IL 60174-3580
Phone (630) 762-9606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080522000050 IL Part B Supplier - Clinic/Group Practice 0446329007 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Charles, IL

National Provider Directory

National Provider Directory

Locations

2560 Foxfield Rd
Ste 240
St Charles, IL 60174
Phone (630) 762-9606

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1197072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1982887352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LINCOLN HWY",
            "address_2": "SUITE C",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601743580",
            "telephone_number": "630-762-9606",
            "fax_number": "630-762-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LINCOLN HWY",
            "address_2": "SUITE C",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601743580",
            "telephone_number": "630-762-9606",
            "fax_number": "630-762-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINHA CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-08",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "SINHA",
        "authorized_official_first_name": "SHOBHA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-762-9606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "336049890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.