NPPES file of Aug 9, 2026

Andrew Vincent Shack, PH.D.

Clinical Psychologist · Oak Park, IL

Andrew Vincent Shack, PH.D. is a clinical psychologist with a practice address in Oak Park, Illinois, and NPI 1659327229, issued on May 25, 2006. Check the license (Illinois 071-006231, as entered in NPPES) with the Illinois board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1659327229
Name
Andrew Vincent Shack
Credential
PH.D.
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
071-006231 IL
Self-reported in NPPES; status is on the state search
Practice location
1103 Westgate St, Oak Park, IL 60301
Phone
(708) 386-8112
Enumerated
May 25, 2006
Record last updated
Feb 27, 2014 (not updated in 12 years: call before relying on the address or phone)
Fax
(708) 383-4298
Medicare enrollment
Enrolled (PECOS I20101130001094); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1103 Westgate St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Florence Braum, L.C.S.WClinical Social Worker1205950300
  2. Maria Dahn, M.D.Child & Adolescent Psychiatry Physician1942491519
  3. Helen Fleisher, LCSWClinical Social Worker1801821392
  4. Robert O'Connor, PH.D.Clinical Psychologist1134250152
  5. Maureen Oconnor, M.S.W.Clinical Social Worker1447316443

Verify Andrew Vincent Shack in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this profession
    Search for license 071-006231
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Illinois license search

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Andrew Vincent Shack among 3,947 clinical psychologist records in Illinois

Andrew Vincent Shack, PH.D. is one of 3,947 clinical psychologist records with a practice address in Illinois. 16% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 2% of them.

  • NPI issued2006 · 2% of these records are older, 76% newer
  • In a Medicare fileNo · 16% of these records are
  • In the CMS Doctors and Clinicians fileYes · 27% of these records are
  • Graduated1999 · median 2004 among the 1,081 with a school on file
  • Record last updated2014 · 68% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

83 clinical psychologist records list a practice address in Oak Park

They are 83 of the 2,307 NPPES records with a practice address in Oak Park, and 3,947 clinical psychologist records in Illinois. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 clinical psychologist records with the nearest ZIP codes

  1. Garth Amundson, PSY.D.Oak Park, IL 603011629133996
  2. Braden Berkey, PSY.D.Oak Park, IL 603011215900907
  3. Constance Bernt, PSY.D.Oak Park, IL 603011316965486
  4. Charles Davis, PH.D.Oak Park, IL 603011881704047
  5. Camille Ference, PHDOak Park, IL 603011952475782
  6. Cindy Gilmore, PSYDOak Park, IL 603011033172549
  7. Patricia Huth, PH.D.Oak Park, IL 603011134139835
  8. Laura Lerner, PHDOak Park, IL 603011386747756

Common questions

What is Andrew Vincent Shack, PH.D.'s NPI number?

Andrew Vincent Shack, PH.D.'s National Provider Identifier (NPI) is 1659327229, issued on May 25, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Andrew Vincent Shack, PH.D. located?

The NPPES record lists a practice address at 1103 Westgate St, Oak Park, IL, 60301. Phone: (708) 386-8112. Providers update this record themselves, so call before visiting.

How can I verify Andrew Vincent Shack, PH.D.'s license?

NPPES lists Illinois license number 071-006231, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.