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CYNTHIA SHAW PSYD
NPI 1598435984
Psychologist - Clinical in Chicago, IL

Active since September 16, 2021Opted out of Medicare · through Jul 3, 2027
405 N WABASH AVE UNIT 2511, CHICAGO, IL 60611(312) 505-8858 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Cynthia Shaw Psyd NPPES

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

CYNTHIA SHAW PSYD (NPI 1598435984) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.010599) and active in the NPI registry since September 2021. She has opted out of Medicare through July 3, 2027.

NPPES Registry Identity

NPI1598435984
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameCYNTHIA SHAWCredential: PSYD
Location Address405 N WABASH AVE UNIT 2511Chicago, IL 60611-5668
Mailing Address405 N Wabash Ave Unit 2511Chicago, IL 60611-5668 · (312) 505-8858
Phone(312) 505-8858
Sole ProprietorNo
Enumeration DateSeptember 16, 2021
NPPES CertifiedSeptember 16, 2021
✔ NPI 1598435984 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 · 071.010599
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.
405 N WABASH AVE UNIT 2511, Chicago, IL 60611
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Other Identifiers 1

Other071.010599IL · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Cynthia Shaw Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 3, 2023 through July 3, 2027.

Opt-Out Effective DateJuly 3, 2023
Opt-Out In Effect ThroughJuly 3, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

ERIN KENDRA RODRIGUEZ
Counselor (Mental Health)
405 N WABASH AVE UNIT 2511
CHICAGO, IL 60611
Cook County (312) 600-3935
JANE MARSHALL KEMP
Social Worker (Clinical)
405 N WABASH AVE UNIT 2511
CHICAGO, IL 60611
Cook County (312) 600-3935

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 Cynthia Shaw's NPI number?

The NPI number for Cynthia Shaw is 1598435984. It was assigned to this individual provider in the NPPES registry on September 16, 2021.

Where is Cynthia Shaw located?

Cynthia Shaw practices at 405 N Wabash Ave Unit 2511, Chicago, IL 60611. The listed phone number is (312) 505-8858.

What is Cynthia Shaw's specialty?

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

Is Cynthia Shaw enrolled in Medicare?

No. Cynthia Shaw has opted out of Medicare through July 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Cynthia Shaw was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.