Healthcare Provider Details

I. General information

NPI: 1871473116
Provider Name (Legal Business Name): WHEATON BEHAVIORAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 MANCHESTER RD STE 956
WHEATON IL
60187-4651
US

IV. Provider business mailing address

2100 MANCHESTER RD STE 956
WHEATON IL
60187-4651
US

V. Phone/Fax

Practice location:
  • Phone: 319-610-0289
  • Fax:
Mailing address:
  • Phone: 319-610-0289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. THERESA SAKYIAMA
Title or Position: PSYCHIATRIST
Credential: MD
Phone: 319-610-0289