Provider Demographics
NPI:1730587387
Name:COLLINS, SHEILA (PSYD, LCPC)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:
Last Name:COLLINS
Suffix:
Gender:F
Credentials:PSYD, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1732 W HUBBARD ST STE 1D
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-6271
Mailing Address - Country:US
Mailing Address - Phone:773-270-3797
Mailing Address - Fax:
Practice Address - Street 1:1732 W HUBBARD ST STE 1D
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-6271
Practice Address - Country:US
Practice Address - Phone:773-270-3795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-15
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.00997103T00000X, 103TC0700X, 103TC0700X
103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral