Healthcare Provider Details

I. General information

NPI: 1023699113
Provider Name (Legal Business Name): SHELBY FINKELMAN PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHELBY MCCALLISTER

II. Dates (important events)

Enumeration Date: 04/20/2021
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 E MAIN ST # B103
DANVILLE IL
61832-5100
US

IV. Provider business mailing address

1900 E MAIN ST # B103
DANVILLE IL
61832-5100
US

V. Phone/Fax

Practice location:
  • Phone: 217-554-4530
  • Fax:
Mailing address:
  • Phone: 217-554-5202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY10000138
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: