Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tristate Wellness Mgt LLC

Organization Clinical Psychologist · NPI 1609821164

Tristate Wellness Mgt LLC provides Clinical Psychologist services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2826 N Talman Unit J
Chicago, IL 60618-7828 Not confirmed with CMS for 18 years — call before visiting
Phone: (708) 646-5738
Fax: (866) 587-1485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 036093462 (IL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 336-008797 (IL)

Record details

NPI number1609821164
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Thompson — Program Director · (708) 646-5738
NPI enumeratedMay 23, 2006
Last updated in NPPESJanuary 8, 2008
Mailing address2826 N Talman, Unit J, Chicago, IL 60618-7828

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