Shashonk Illam, PSY.D.
NPI 1104432228 · Student in an Organized Health Care Education/Training Program · Jacksonville, FL
Shashonk Illam, PSY.D. is a Student in an Organized Health Care Education/Training Program provider in Jacksonville, FL (NPI 1104432228).
Provider details
- NPI number
- 1104432228
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-09-23
- Last updated
- 2024-07-05
- Certified
- 2024-07-05
Frequently asked questions
- What is Shashonk Illam's NPI number?
- Shashonk Illam's National Provider Identifier (NPI) is 1104432228, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shashonk Illam's specialty?
- Shashonk Illam is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Shashonk Illam located?
- Shashonk Illam's practice location on file with NPPES is 800 Prudential Dr, Jacksonville, FL 32207-8202.
- What is Shashonk Illam's phone number?
- The practice phone number listed in the NPPES registry for Shashonk Illam is (904) 202-8000.
- Is Shashonk Illam's NPI active?
- Yes — Shashonk Illam's NPI (1104432228) is active in the NPPES registry as of the last update on 2024-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.