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DR. ANDREW VINCENT SHACK PH.D.
NPI 1659327229
Psychologist - Clinical in Oak Park, IL

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
1103 WESTGATE ST, SUITE 200, OAK PARK, IL 60301(708) 386-8112(708) 383-4298 Get Directions Write a Review

NPPES record last updated: February 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andrew Vincent Shack Ph.d. NPPES

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

DR. ANDREW VINCENT SHACK PH.D. (NPI 1659327229) is an individual clinical provider in Oak Park, Illinois, licensed in Illinois (071-006231) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1659327229
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANDREW VINCENT SHACKCredential: PH.D.
Location Address1103 WESTGATE ST, SUITE 200Oak Park, IL 60301-1088
Mailing Address1103 Westgate St, Suite 200Oak Park, IL 60301-1088 · (708) 386-8112 · Fax (708) 383-4298
Phone(708) 386-8112
Fax(708) 383-4298
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateMay 25, 2006
Last NPPES UpdateFebruary 27, 2014
✔ NPI 1659327229 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 · 071-006231
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.
1103 WESTGATE ST, Oak Park, IL 60301
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Other Identifiers 1

Medicare UPIN938570IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrew Vincent Shack Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234325432
PECOS Enrollment IDI20101130001094
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

ROBERT EDWARD O'CONNOR PH.D.
Psychologist (Clinical)
1103 WESTGATE ST, SUITE 200
OAK PARK, IL 60301
Cook County (708) 386-1761
FLORENCE R BRAUM L.C.S.W
Social Worker (Clinical)
1103 WESTGATE ST, SUITE 200
OAK PARK, IL 60301
Cook County (708) 383-7610
MS. MAUREEN SAUVAIN OCONNOR M.S.W.
Social Worker (Clinical)
1103 WESTGATE ST
OAK PARK, IL 60301
Cook County (708) 386-1761
MARIA CECILIA DAHN, M.D.
Clinic/Center
1103 WESTGATE ST, 203
OAK PARK, IL 60301
Cook County (708) 856-2237
HELEN Z. FLEISHER LCSW
Social Worker (Clinical)
1103 WESTGATE ST, SUITE 200
OAK PARK, IL 60301
Cook County (708) 383-4170
MARIA CECILIA DAHN M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1103 WESTGATE ST, #203
OAK PARK, IL 60301
Cook County (773) 517-7873

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 Andrew Shack's NPI number?

The NPI number for Andrew Shack is 1659327229. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Andrew Shack located?

Andrew Shack practices at 1103 Westgate St Suite 200, Oak Park, IL 60301. The listed phone number is (708) 386-8112.

What is Andrew Shack's specialty?

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

Is Andrew Shack enrolled in Medicare?

Yes. Andrew Shack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Andrew Shack was last updated on February 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.