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

Transformative Wellness, Inc

Organization Clinical Psychologist · NPI 1528703014

Transformative Wellness, Inc is a Clinical Psychologist in Chicago, Illinois. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

611 W Briar Pl Ste 6
Chicago, IL 60657-4560
Phone: (312) 375-5621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1528703014
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maudette Jackson — President/Clinical Psychologist · (312) 375-5621
NPI enumeratedApril 29, 2022
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022
Mailing address7725 S Crandon Ave, Chicago, IL 60649-4118

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