Active NPI
Diane M Herbstman Welbel PSYD LLC
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1285182121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071008625
- Legal business name
- DIANE M HERBSTMAN WELBEL PSYD LLC
- Practice address
- 3139 N Lincoln Ave
Suite 203
Chicago, IL 60657-3114 - Phone
- (847) 571-7726
- NPI assigned
- Sep 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Diane M Welbel, PSY.D.
- Title
- Clinical Psychologist
- Phone
- (847) 571-7726
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071008625 | IL | Primary |
Addresses
Primary practice location
3139 N Lincoln Ave
Suite 203
Chicago, IL 60657-3114
Mailing address
1412 W Wrightwood Ave
Unit G
Chicago, IL 60614-1195
Phone (847) 571-7726
National Provider Directory
National Provider DirectoryLocations
3139 N Lincoln Ave
Ste 203
Chicago, IL 60657
Phone (312) 409-4701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474329600000",
"number": "1285182121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 W WRIGHTWOOD AVE",
"address_2": "UNIT G",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141195",
"telephone_number": "847-571-7726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3139 N LINCOLN AVE",
"address_2": "SUITE 203",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573114",
"telephone_number": "847-571-7726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIANE M HERBSTMAN WELBEL PSYD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-20",
"last_updated": "2016-09-20",
"status": "A",
"authorized_official_last_name": "WELBEL",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "847-571-7726",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071008625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.