DR. MARINA SHAKHMAN (PSY.D.) – Clinical Psychologist, NPI 1972537157

DR. MARINA SHAKHMAN (PSY.D.) is a healthcare provider. based in Libertyville, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 071006732 (IL). The NPI Number for DR. MARINA SHAKHMAN (PSY.D.) is 1972537157

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARINA SHAKHMAN (PSY.D.)
NPI
1972537157
Phone
(847) 549-1189
Address
1800 HOLLISTER DR STE 201
Enumeration Date
11 July 2006
Last Update Date
6 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8475491189
Graduation Year
2001 (25 years ago)
PAC ID
7911916200
Group Practice PAC ID
2163523903
Professional Enrollment ID
I20060414000011
Address ID
IL600485266LI1800XDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for DR. MARINA SHAKHMAN (PSY.D.)

  • 1800 HOLLISTER DR STE 201

    LIBERTYVILLE, IL 600485266

    Phone: (847) 549-1189

    Type: Mailing

  • 1800, Hollister Drive, Libertyville, Lake, Illinois, 60048, United States

    SUITE 201

    LIBERTYVILLE, IL 600485263

    Phone: (847) 208-9667

    Type: Location

  • 1423, Lori-Lyn Lane, Northbrook, Northfield Township, Cook County, Illinois, 60062, United States

    NORTHBROOK, IL 600624928

    Phone: (847) 208-9667

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-04-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060414000011IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60048)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163523903View full group profile
NameSpecialtyState
Clinical PsychologistIL
-IL
Mental Health CounselorIL
Clinical PsychologistIL
Clinical Social WorkerIL
Clinical PsychologistIL
Mental Health CounselorIL
Clinical PsychologistIL
-IL
Mental Health CounselorIL

Reviews

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Frequently asked questions

How is DR. MARINA SHAKHMAN (PSY.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. MARINA SHAKHMAN (PSY.D.) with NPI 1972537157.
Can I rely on DR. MARINA SHAKHMAN (PSY.D.) being an active provider?
As of the registry snapshot, DR. MARINA SHAKHMAN (PSY.D.) is marked active.
What is DR. MARINA SHAKHMAN (PSY.D.) best known for clinically?
Directory data describes DR. MARINA SHAKHMAN (PSY.D.) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Does DR. MARINA SHAKHMAN (PSY.D.) list a practice location?
Patients near Libertyville, Illinois may find DR. MARINA SHAKHMAN (PSY.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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