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DR JOSEPH WALLACH PHD LLC
NPI 1861758583
Psychologist - Clinical in Chicago, IL

Active since April 06, 2012
4753 N BROADWAY ST, SUITE 608, CHICAGO, IL 60640(773) 852-2400(847) 869-8116 Get Directions Write a Review

NPPES record last updated: April 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr Joseph Wallach Phd Llc NPPES

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

DR JOSEPH WALLACH PHD LLC (NPI 1861758583) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since April 2012. The organization lists Joseph Wallach, Licensed Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1861758583
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameDR JOSEPH WALLACH PHD LLC
Location Address4753 N BROADWAY ST, SUITE 608Chicago, IL 60640-5266
Mailing Address2741 W Greenleaf AveChicago, IL 60645-3013 · (773) 852-2400 · Fax (847) 869-8116
Phone(773) 852-2400
Fax(847) 869-8116
Organization SubpartNo
Authorized OfficialJoseph WallachLicensed Clinical Psychologist · (773) 852-2400
Enumeration DateApril 6, 2012
✔ NPI 1861758583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071007942
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.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 071007942 (IL)
Also ListedPsychologist · HealthTaxonomy 103TH0004X · License 071007942 (IL)
4753 N BROADWAY ST, Chicago, IL 60640
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAMRAN NASEEM MALIK QMHP
Clinic/Center (Mental Health (Including Community Mental Health Center))
4753 N BROADWAY ST
CHICAGO, IL 60640
Cook County (773) 293-8430
TRANSFORMATIVE PSYCHOTHERAPY LLC
Social Worker (Clinical)
4753 N BROADWAY ST, 830
CHICAGO, IL 60640
Cook County (773) 484-5186
MS. SUSANA MONTENEGRO MCLELLAN LCPC, NCC, CADC
Counselor (Professional)
4753 N BROADWAY ST, SUITE 720
CHICAGO, IL 60640
Cook County (773) 899-3245
DR. KRISTINA EUNJOO CHUNG-HELLINGA D.C.
Chiropractor
4753 N BROADWAY ST, SUITE 101
CHICAGO, IL 60640
Cook County (773) 271-8284
MR. DENNIS DELFOSSE LCPC
Counselor (Professional)
4753 N BROADWAY ST, SUITE 900, 910, 925
CHICAGO, IL 60640
Cook County (773) 989-2780
JOANNA VERGOTH LCSW
Social Worker (Clinical)
4753 N BROADWAY ST, SUITE 509
CHICAGO, IL 60640
Cook County (917) 796-8213
JOANNE MARWIL, PSY.D. AND ASSOCIATES
Psychologist (Clinical)
4753 N BROADWAY ST, SUITE 826
CHICAGO, IL 60640
Cook County (773) 317-3949
MS. SUSAN M. MULLEN LCSW, CADC
Social Worker (Clinical)
4753 N BROADWAY ST, SUITE 608
CHICAGO, IL 60640
Cook County (847) 638-4234

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 Dr Joseph Wallach Phd LLC's NPI number?

The NPI number for Dr Joseph Wallach Phd LLC is 1861758583. It was assigned to this organization in the NPPES registry on April 6, 2012.

Where is Dr Joseph Wallach Phd LLC located?

Dr Joseph Wallach Phd LLC is located at 4753 N Broadway St Suite 608, Chicago, IL 60640. The listed phone number is (773) 852-2400.

What is Dr Joseph Wallach Phd 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 Dr Joseph Wallach Phd LLC was last updated on April 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.