IndividualActive
Shanta Kanukollu, PH.D.
NPI 1942689435 · Clinical Psychologist · Oak Lawn, IL
Shanta Kanukollu, PH.D. is a Clinical Psychologist provider in Oak Lawn, IL (NPI 1942689435).
Provider details
- NPI number
- 1942689435
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 071.008400 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% 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
10201 S Cicero Ave
Oak Lawn, IL 60453-4098
Phone: (847) 377-4496
Street-level locationGet directions
Mailing address
10201 S Cicero Ave
Oak Lawn, IL 60453-4098
Registry dates
- Enumerated
- 2015-05-29
- Last updated
- 2015-05-29
Frequently asked questions
- What is Shanta Kanukollu's NPI number?
- Shanta Kanukollu's National Provider Identifier (NPI) is 1942689435, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shanta Kanukollu's specialty?
- Shanta Kanukollu is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Shanta Kanukollu located?
- Shanta Kanukollu's practice location on file with NPPES is 10201 S Cicero Ave, Oak Lawn, IL 60453-4098.
- What is Shanta Kanukollu's phone number?
- The practice phone number listed in the NPPES registry for Shanta Kanukollu is (847) 377-4496.
- Is Shanta Kanukollu's NPI active?
- Yes — Shanta Kanukollu's NPI (1942689435) is active in the NPPES registry as of the last update on 2015-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.