DR. KATHLEEN V SHEA (NPI# 1235220369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235220369 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN V SHEA |
| Credential | PHD |
| Practice Address |
42258 N Crawford Rd A-1 Antioch IL 60002-9570 |
| Practice Telephone | 8472177660 |
| Practice Fax Number | 8473959973 |
| Mailing Telephone | 8472177660 |
| Mailing Fax Number | 8473959973 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2012-07-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071003133 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 0497205371 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053701888 | Kathleen Shea | Psychologist | 2706 Alt 19n, Suite 214, Palm Harbor, FL 34683-2641 | 2015-02-02 |
| 1073832010 | Kathleen A. Shea | Developmental Therapist | 508 E Scovill St, Urbana, IL 61801-6745 | 2010-05-28 |
| 1245487545 | Kathleen M Shea | Audiologist | 1401 F Main St, Hilton Head Island, SC 29926 | 2008-08-19 |
| 1043792187 | Kathleen Shea | Social Worker | 220r Forbes Rd, Braintree, MA 02184-2702 | 2018-09-05 |
| 1871074930 | Kathleen M Shea | Counselor | 417 W Madison St, Ottawa, IL 61350-2836 | 2018-08-27 |
| 1932595675 | Kathleen Shea | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2015-04-09 |
| 1851719785 | Kathleen Shea | Occupational Therapist | 4725 Merle Hay Rd, Suite 107, Des Moines, IA 50322-1983 | 2014-03-28 |
| 1083976021 | Kathleen Shea | Specialist | 300 Garden City Plz, Suite 350, Garden City, NY 11530-3302 | 2012-06-14 |
| 1972813343 | Kathleen Shea | Nurse Practitioner | 70 Main St, Taunton, MA 02780-2778 | 2010-10-19 |
| 1508059916 | Kathleen Mary Shea | Occupational Therapy Assistant | 203 Lowell Rd, Hudson, NH 03051-4909 | 2007-08-20 |
| Street Address |
42258 N CRAWFORD RD A-1 |
| City | ANTIOCH |
| State | IL |
| Zip Code | 60002-9570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620345 | Kathleen Ann Bleyaert | Technician | 24238 W. Bayview Rd, Antioch, IL 60002 | 2020-02-12 |
| 1992354385 | Pauravi Hefner | Developmental Therapist | 270 Hickory Lane, Antioch, IL 60002 | 2019-09-09 |
| 1689023558 | Shannon Marie Herman | Pharmacist | 966 Route 59, Antioch, IL 60002 | 2016-06-10 |
| 1992151856 | Suchitra Gosavi | Physical Therapist | 3703west Lake Ave, Suit 200, Glenview, IL 60002 | 2016-05-10 |
| 1336513357 | Athletico Ltd | Physical Therapist | 1122 Main St., Antioch, IL 60002 | 2015-11-16 |
| 1811306335 | Jennifer Fitzgerald | Massage Therapist | 673 Cameron Drive, Antioch, IL 60002 | 2014-08-08 |
| 1114262052 | Michael W Silenzi | Physical Therapist | 543 Orchard Str, Antioch, IL 60002 | 2012-12-04 |
| 1659561678 | Expert Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 40225 N Rt 83, Suite B, Antioch, IL 60002 | 2007-07-26 |
| 1821157769 | Robert T Sven,dds,ltd | Dentist | 439 Lake Street, Antioch, IL 60002 | 2006-12-06 |
| 1447326004 | Stanley Jerome Witkiewicz | Dentist | 715 N Main, Antioch, IL 60002 | 2006-11-27 |
| Find all providers in zip 60002 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922155530 | Clair L. Howard | Psychologist | 2926 Lone Tree Way, Antioch, CA 94509-4924 | 2007-01-04 |
| 1861549008 | Dona Carol Zimmerman | Psychologist | 2213 Buchanan Road, Suite 203, Antioch, CA 94509 | 2007-01-03 |
| 1467494104 | Carl R Viesti Jr. | Psychologist | 3720 Sunset Ln, Ste D, Antioch, CA 94509-6124 | 2006-06-10 |
| 1376142497 | Hope Springs Psychotherapy and Consulting | Psychologist | 3700 Delta Fair Blvd Ste 210, Antioch, CA 94509-4074 | 2020-10-20 |
| 1134778012 | Olayinka Rahman | Psychologist | 3454 Hillcrest Ave, Antioch, CA 94531-4263 | 2019-09-04 |
| 1306498027 | Kalana Rene' Greer | Psychologist | 3454 Hillcrest Ave, Antioch, CA 94531-4263 | 2019-07-12 |
| 1265094130 | Lauren Elizabeth Madlock | Psychologist | 3454 Hillcrest Ave, Antioch, CA 94531-8238 | 2019-07-01 |
| 1316455926 | Jenny Elizabeth Imberi | Psychologist | 3454 Hillcrest Ave, Antioch, CA 94531-8238 | 2018-01-17 |
| 1558762716 | Marines M Novoa | Psychologist | 3454 Hillcrest Ave, Antioch, CA 94531-8238 | 2014-09-08 |
| 1649539503 | Arwin Angelae I. Cotas-girard | Psychologist | 3454 Hillcrest Ave, Antioch, CA 94531-4263 | 2012-05-14 |
| Find all providers in ANTIOCH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.