SHANA M. NICHOLAS, PSY.D. PC
NPI 1508051541
Psychologist - Clinical in Evanston, IL

Active since September 12, 2007
636 CHURCH ST STE 515, EVANSTON, IL 60201(847) 732-1704 Get Directions Write a Review

NPPES record last updated: September 12, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shana M. Nicholas, Psy.d. Pc NPPES

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

SHANA M. NICHOLAS, PSY.D. PC (NPI 1508051541) is a healthcare organization registered as a clinical in Evanston, Illinois and active in the NPI registry since September 2007. The organization lists Shana M. Nicholas, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1508051541
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSHANA M. NICHOLAS, PSY.D. PC
Location Address636 CHURCH ST STE 515Evanston, IL 60201-4581
Mailing Address636 Church St Ste 515Evanston, IL 60201-4581 · (847) 732-1704
Organization SubpartNo
Authorized OfficialShana M. NicholasClinical Psychologist · (847) 732-1704
Enumeration DateSeptember 12, 2007
NPI 1508051541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
636 CHURCH ST STE 515, Evanston, IL 60201

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Psychologist
636 CHURCH ST STE 515
EVANSTON, IL 60201
Social Worker (Clinical)
636 CHURCH ST STE 515
EVANSTON, IL 60201
Social Worker (Clinical)
636 CHURCH ST STE 515
EVANSTON, IL 60201
Social Worker (Clinical)
636 CHURCH ST STE 515
EVANSTON, IL 60201

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 M. Nicholas, Psy.D. PC's NPI number?

The NPI number for Shana M. Nicholas, Psy.D. PC is 1508051541. It was assigned to this organization in the NPPES registry on September 12, 2007.

Where is Shana M. Nicholas, Psy.D. PC located?

Shana M. Nicholas, Psy.D. PC is located at 636 Church St Ste 515, Evanston, IL 60201. The listed phone number is (847) 732-1704.

What is Shana M. Nicholas, Psy.D. PC'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 M. Nicholas, Psy.D. PC was last updated on September 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.