MADISON POMDEN PHD
NPI 1073280681
Psychologist in Libertyville, IL

Active since August 23, 2021PECOS EnrolledAccepts Medicare Assignment
1860 W WINCHESTER RD STE 106, LIBERTYVILLE, IL 60048(847) 816-6335 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 28, 2026, Feb 8, 2022, Aug 23, 2021 (3 updates tracked since 2021).

About Madison Pomden Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON POMDEN PHD (NPI 1073280681) is an individual psychologist in Libertyville, Illinois, licensed in Illinois (071022324) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1073280681
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMADISON POMDENCredential: PHD
Location Address1860 W WINCHESTER RD STE 106Libertyville, IL 60048-5312
Mailing AddressPo Box 14545Belfast, ME 04915-4038 · (847) 816-6335
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 23, 2021
Last NPPES UpdateApril 28, 20263 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
NPI 1073280681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in IL · 071022324
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1860 W WINCHESTER RD STE 106, Libertyville, IL 60048

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Madison Pomden Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688166556
PECOS Enrollment IDI20251126003875
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1860 W WINCHESTER RD STE 106
LIBERTYVILLE, IL 60048
Nurse Practitioner
1860 W WINCHESTER RD STE 106
LIBERTYVILLE, IL 60048
Psychiatry & Neurology (Neurology)
1860 W WINCHESTER RD STE 106
LIBERTYVILLE, IL 60048
Social Worker
1860 W WINCHESTER RD STE 106
LIBERTYVILLE, IL 60048
Physician Assistant
1860 W WINCHESTER RD STE 106
LIBERTYVILLE, IL 60048
Social Worker (Clinical)
1860 W WINCHESTER RD STE 106
LIBERTYVILLE, IL 60048
Social Worker
1860 W WINCHESTER RD STE 106
LIBERTYVILLE, IL 60048
Psychiatry & Neurology (Neurology)
1860 W WINCHESTER RD STE 106
LIBERTYVILLE, IL 60048

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073280681, enumerated as an "individual" on August 23, 2021.

The provider is located at 1860 W WINCHESTER RD STE 106 LIBERTYVILLE, IL 60048 and the phone number is (847) 816-6335.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.