Healthcare Provider Details

I. General information

NPI: 1750244489
Provider Name (Legal Business Name): TRANSFORMATIVE REFLECTIONS PSYCHOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 SKOKIE BLVD STE 230
NORTHBROOK IL
60062-4046
US

IV. Provider business mailing address

2501 CHATHAM RD
SPRINGFIELD IL
62704-4188
US

V. Phone/Fax

Practice location:
  • Phone: 312-809-8431
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. TAMARA ROSTEIN
Title or Position: CLINICAL PSYCHOLOGIST AND OWNER
Credential: PSYD
Phone: 312-809-8431