Bridget Shane · Clinical Psychologist

160 E Grand Ave, Chicago, IL 60611-3800

Overview

Bridget Shane is a Clinical Psychologist practicing in Chicago, Illinois. The National Provider Identifier (NPI) is #1831026418, which was assigned on May 6, 2026, and the registration record was last updated on May 6, 2026. The practitioner's main practice location is at 160 E Grand Ave, Chicago, IL 60611-3800; the contact telephone number is 8476860090, and the fax number is 8475030813. The primary taxonomy of Bridget Shane is Clinical Psychologist (103TC0700X), with specialization in Clinical. Bridget Shane is licensed to practice in the state of Illinois (#071.022642).

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.

Provider Information

NPI 1831026418
Entity Type Individual
Provider Name BRIDGET SHANE
Gender Female
Credential PSYD
Practice Address 160 E Grand Ave
Chicago
IL 60611-3800
Practice Telephone 8476860090
Practice Fax Number 8475030813
Mailing Address 160 E Grand Ave Ste 500
Chicago
IL 60611-3800
Mailing Telephone 8476860090
Mailing Fax Number 8475030813
Certification Date 2026-04-16
Enumeration Date 2026-05-06
Last Update Date 2026-05-06
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y103TC0700XPsychologistClinical071.022642IL

Taxonomy Information

Primary Taxonomy

Code 103TC0700X
Taxonomy Clinical Psychologist
Classification Psychologist
Specialization Clinical
Grouping Behavioral Health & Social Service Providers
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.
Notes: Source: American Psychological Association, www.apa.org [1/1/2019: new definition]

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Location Information

Street Address 160 E GRAND AVE
City CHICAGO
State IL
Zip Code 60611-3800
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Maya Howard 160 E Grand Ave Ste 500, Chicago, IL 60611-3800Clinical Psychologist2026-01-14
Neurologic Wellness Institute, PLLC 160 E Grand Ave # 200, Chicago, IL 60611-3800Neurology Chiropractor2019-08-29
Rachael Renteria 160 E Grand Ave Ste 500, Chicago, IL 60611-3800Mental Health Counselor2020-03-17
Adam Lurie 160 E Grand Ave, Chicago, IL 60611-3800Clinical Psychologist2019-09-12
Charisma Dalvi 160 E Grand Ave Ste 500, Chicago, IL 60611-3800Clinical Psychologist2025-09-29
The Behavioral Health Cooperative, LLC 160 E Grand Ave Ste 500, Chicago, IL 60611-3800Clinical Psychologist2021-07-30

Providers in the same zip code

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Luxcore Md LLC. 605 N. Michicgan Ave., 4th, Chicago, IL 60611Non-Pharmacy Dispensing Site2023-12-11
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Sarah Harris-Gendron Northwestern Memorial Hospital, 251 East Huron Street, Chicago, IL 60611Student in an Organized Health Care Education/Training Program2025-04-04
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Seema Emami 259 East Erie St., Suite 1520, Chicago, IL 60611Student in an Organized Health Care Education/Training Program2024-02-21
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Vinci Naruka 251 East Huron Street, Northwestern Memorial Hospital, Chicago, IL 60611Student in an Organized Health Care Education/Training Program2026-04-30
Kallista Zhuang 240 E Huron Street, Suite 1-200, Chicago, IL 60611Student in an Organized Health Care Education/Training Program2024-02-22
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.