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SHORE THERAPY CENTER FOR WELLNESS, PLLC
NPI 1285385617
Clinic/Center - Mental Health (Including Community Mental Health Center) in Wilmette, IL

Active since January 18, 2022
1189 WILMETTE AVE # 174, WILMETTE, IL 60091(847) 558-1546(847) 787-1868 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About SHORE THERAPY CENTER FOR WELLNESS, PLLC

This page provides the complete NPI Profile along with additional information for Shore Therapy Center For Wellness, Pllc, a provider established in Wilmette, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1285385617 assigned on January 2022. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Corrie A. Goldberg Ph.d. (Owner)

NPI
1285385617 Verify this NPI
Provider Name
SHORE THERAPY CENTER FOR WELLNESS, PLLC
Entity Type
Organization
Location Address
1189 WILMETTE AVE # 174 WILMETTE, IL 60091
Location Phone
(847) 558-1546
Location Fax
(847) 787-1868
Mailing Address
1006 MARION AVE HIGHLAND PARK, IL 60035
Mailing Phone
(630) 362-0129
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2022
Last Update Date
01-18-2022
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CORRIE A. GOLDBERG PH.D.

Authorized Official Title
OWNER
Authorized Official Phone
(847) 558-1546

Reviews for SHORE THERAPY CENTER FOR WELLNESS, PLLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

DR. CORRIE ADINA GOLDBERG PH.D.
Psychologist (Clinical)
1189 WILMETTE AVE # 174
WILMETTE, IL 60091
Cook County (847) 558-1546

Frequently Asked Questions

What is SHORE THERAPY CENTER FOR WELLNESS, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1285385617, enumerated as an "organization" on January 18, 2022.

Where is the provider located?

The provider is located at 1189 WILMETTE AVE # 174 WILMETTE, IL 60091 and the phone number is (847) 558-1546.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).