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TRISTATE WELLNESS MGT LLC
NPI 1609821164
Psychologist - Clinical in Chicago, IL

Active since May 23, 2006
2826 N TALMAN, UNIT J, CHICAGO, IL 60618(708) 646-5738(866) 587-1485 Get Directions Write a Review

NPPES record last updated: January 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tristate Wellness Mgt Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRISTATE WELLNESS MGT LLC (NPI 1609821164) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since May 2006. The organization lists Philip Douglas Thompson, Program Director, as its authorized official.

NPPES Registry Identity

NPI1609821164
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameTRISTATE WELLNESS MGT LLC
Location Address2826 N TALMAN, UNIT JChicago, IL 60618-7828
Mailing Address2826 N Talman, Unit JChicago, IL 60618-7828 · (708) 646-5738 · Fax (866) 587-1485
Phone(708) 646-5738
Fax(866) 587-1485
Organization SubpartNo
Authorized OfficialPhilip Douglas ThompsonProgram Director · (708) 646-5738
Enumeration DateMay 23, 2006
Last NPPES UpdateJanuary 8, 2008
✔ NPI 1609821164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in IL · 036093462✔ Licensed in IL · 336-008797
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2826 N TALMAN, Chicago, IL 60618
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Other Identifiers 9

Medicaid036039387IL
Medicare UPIN213378
Medicare PIN431830IL
Medicare UPINE572246IL
Medicare UPINH46124IL
Medicare ID-Type UnspecifiedK26727IL · Dr. Benjamin Margolis
Medicare ID-Type Unspecified213378IL · Group Medicare Number
Medicare ID-Type UnspecifiedK17910IL · Dr. Walter Wrobel
Medicaid036093462IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tristate Wellness Mgt LLC's NPI number?

The NPI number for Tristate Wellness Mgt LLC is 1609821164. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Tristate Wellness Mgt LLC located?

Tristate Wellness Mgt LLC is located at 2826 N Talman Unit J, Chicago, IL 60618. The listed phone number is (708) 646-5738.

What is Tristate Wellness Mgt LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Tristate Wellness Mgt LLC was last updated on January 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.