Healthcare Provider Details

I. General information

NPI: 1184553018
Provider Name (Legal Business Name): WELL BEHAVIORAL MEDICINE AND METABOLIC HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1024 NORTH BLVD STE 201
OAK PARK IL
60301-1149
US

IV. Provider business mailing address

413 N MARION ST
OAK PARK IL
60302-4518
US

V. Phone/Fax

Practice location:
  • Phone: 312-772-5601
  • Fax:
Mailing address:
  • Phone: 310-804-4349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ALISON NEWMAN
Title or Position: LICENSED CLINICAL PSYCHOLOGIST/OWNE
Credential: PH.D., ABPP
Phone: 310-804-4349