The Wellness Studio, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

THE WELLNESS STUDIO, PLLC

Practice address

201 Mark Dr
Glenview, IL 60025-2332

Phone

(224) 636-3036

Fax

(224) 636-3036

NPI assigned

Jan 6, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anne Bergen, PSY.DNPI 1376234179

Title

Owner

Phone

(224) 636-3036

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anne Bergen

  • Psychologist
  • Chicago, IL
  • NPI 1376234179
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1306655261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 N CLARK ST APT 3S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102941",
            "telephone_number": "224-636-3036",
            "fax_number": "224-636-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MARK DR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252332",
            "telephone_number": "224-636-3036",
            "fax_number": "224-636-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS STUDIO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "BERGEN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-636-3036",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Journey Through, PLLC
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• The Right Touch, Inc
• The Thresholds
• The Wellness Source of Glenview Inc
• Bozena Grazyna Theodoropoulos, MD
• Therapeutic Health LL
• Therapylink
• Kimberly Jane Thiel, COTA
• Renee Marie Thieman, COTA

• Clinical Psychologist in Glenview, IL
• Providers in Glenview, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.