Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Pooja Patel Shah, PSYD

Individual provider Clinical Psychologist · NPI 1205064938

Dr. Pooja Patel Shah, PSYD is a Clinical Psychologist in Naperville, Illinois. Qualified in 2010, 16 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California and Illinois.

Years since qualifying
16
Licensed in
CA, IL
In the registry since
2009
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

932 Coletta Cir
Naperville, IL 60563-3615
Phone: (331) 444-2505
Fax: (331) 333-3903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY24456 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 071.009795 (IL)

Record details

NPI number1205064938
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJuly 1, 2009
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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