Individual provider · Type 1 NPI

Kiryl N. Shada, PSYD

Psychologist · Pleasant Prairie, WI

NPI number 1841667797 Active

Practice location

12500 Aurora Dr
Pleasant Prairie, WI 53158-1227

Call (262) 857-5000 Map

Fax (262) 857-5001

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Other practice locations

  • 2130 SW Jefferson St, Portland, OR 97201-7709 · (262) 331-0169

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Psychologist Primary 103T00000X22780 (WI)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

61 other providers at this address

About NPI 1841667797

Kiryl N. Shada, PSYD's National Provider Identifier is 1841667797, issued on Aug 26, 2015. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Pleasant Prairie, WI. The record was last updated on Jul 30, 2025.