Shore Therapy Center for Wellness, LLC
NPI 1063067866 · Clinical Psychologist · Wilmette, IL
Shore Therapy Center for Wellness, LLC is a Clinical Psychologist organization in Wilmette, IL (NPI 1063067866).
Provider details
- NPI number
- 1063067866
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Corrie Goldberg, Licensed Clinical Psychologist(630) 362-0129
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Cognitive & Behavioral Psychologist103TB0200X
Behavioral Health & Social Service Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-08-08
- Last updated
- 2019-08-08
Frequently asked questions
- What is Shore Therapy Center for Wellness, LLC's NPI number?
- Shore Therapy Center for Wellness, LLC's National Provider Identifier (NPI) is 1063067866, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shore Therapy Center for Wellness, LLC?
- Shore Therapy Center for Wellness, LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Shore Therapy Center for Wellness, LLC located?
- Shore Therapy Center for Wellness, LLC's practice location on file with NPPES is 3330 Old Glenview Rd Ste 16, Wilmette, IL 60091-2963.
- What is Shore Therapy Center for Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Shore Therapy Center for Wellness, LLC is (630) 362-0129.
- Who is the authorized official for Shore Therapy Center for Wellness, LLC?
- The authorized official listed on Shore Therapy Center for Wellness, LLC's NPPES record is Corrie Goldberg, Licensed Clinical Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shore Therapy Center for Wellness, LLC's NPI active?
- Yes — Shore Therapy Center for Wellness, LLC's NPI (1063067866) is active in the NPPES registry as of the last update on 2019-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.