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DR. SHANA D MITZEL NICHOLAS PSY D
NPI 1174633192
Psychologist - Clinical in Wheaton, IL

Active since August 30, 2006
300 E ROOSEVELT RD, SUITE 105, WHEATON, IL 60187(847) 732-1704 Get Directions Write a Review

NPPES record last updated: July 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shana D Mitzel Nicholas Psy D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANA D MITZEL NICHOLAS PSY D (NPI 1174633192) is an individual clinical provider in Wheaton, Illinois, licensed in Illinois (071006921) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1174633192
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SHANA D MITZEL NICHOLASCredential: PSY D
Location Address300 E ROOSEVELT RD, SUITE 105Wheaton, IL 60187-1908
Mailing Address300 E Roosevelt Rd, Suite 105Wheaton, IL 60187-1908 · (847) 732-1704
Phone(847) 732-1704
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 29, 2016
✔ NPI 1174633192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071006921
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
300 E ROOSEVELT RD, Wheaton, IL 60187
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Other Identifiers 1

Other01635721IL · Bcbs

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLAS & NOBLE PSYCHOLOGICAL ASSOCIATES
Psychologist (Clinical)
300 E ROOSEVELT RD, SUITE 105
WHEATON, IL 60187
Dupage County (773) 677-7363
DR. ELISSA BLAKE NOBLE PSY.D.
Psychologist (Clinical)
300 E ROOSEVELT RD, SUITE 105
WHEATON, IL 60187
Dupage County (630) 534-3136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shana Mitzel Nicholas's NPI number?

The NPI number for Shana Mitzel Nicholas is 1174633192. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Shana Mitzel Nicholas located?

Shana Mitzel Nicholas practices at 300 E Roosevelt Rd Suite 105, Wheaton, IL 60187. The listed phone number is (847) 732-1704.

What is Shana Mitzel Nicholas's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Shana Mitzel Nicholas was last updated on July 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.