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

Dr. Shana D Mitzel Nicholas, PSYD

Individual provider Clinical Psychologist · NPI 1174633192

Dr. Shana D Mitzel Nicholas, PSYD is a Clinical Psychologist in Wheaton, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
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

300 E Roosevelt Rd Ste 105
Wheaton, IL 60187-1908
Phone: (847) 732-1704
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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 071006921 (IL)

Record details

NPI number1174633192
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 29, 2016

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