Provider Demographics
NPI:1659639813
Name:RASHEED, MASUMA (PHD)
Entity Type:Individual
Prefix:
First Name:MASUMA
Middle Name:
Last Name:RASHEED
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1244 W OHIO ST UNIT 2W
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642-6276
Mailing Address - Country:US
Mailing Address - Phone:312-625-0366
Mailing Address - Fax:
Practice Address - Street 1:1244 W OHIO ST UNIT 2W
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60642-6276
Practice Address - Country:US
Practice Address - Phone:312-625-0366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-25
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64554101YM0800X, 101YP2500X, 102L00000X, 102L00000X
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst