DR. COURTNEY K DOMENICO PSYD
NPI 1104055953
Psychologist - Clinical in Chicago, IL

NPI Status: Active since July 14, 2009

Contact Information

1300 W BELMONT AVE
SUITE 302
CHICAGO, IL
ZIP 60657
Phone: (773) 883-5398

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  • Individual
  • Female
  • Psychologist
  • Clinical

About COURTNEY DOMENICO

This page provides the complete NPI Profile along with additional information for Courtney Domenico, a provider established in Chicago, Illinois with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1104055953 assigned on July 2009. The practitioner's primary taxonomy code is 103TC0700X with license number 071007703 (IL). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1104055953
Provider Name
DR. COURTNEY K DOMENICO PSYD
Other Name
DR. COURTNEY D BURTSCHER PSY,D
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1300 W BELMONT AVE SUITE 302 CHICAGO, IL 60657
Location Phone
(773) 883-5398
Mailing Address
1300 W BELMONT AVE SUITE 302 CHICAGO, IL 60657
Mailing Phone
(773) 883-5398
Is Sole Proprietor?
Yes
Enumeration Date
07-14-2009
Last Update Date
04-28-2016
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A clinical psychologist like Courtney Domenico assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
071007703
License State
IL
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104055953, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 0 + 5 + 1 + 0 + 9 + 1 + 0 + 24 = 47

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1104055953.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Professional)
1300 W BELMONT AVE, SUITE 216
CHICAGO, IL 60657
Social Worker (Clinical)
1300 W BELMONT AVE, SUITE 212
CHICAGO, IL 60657
Social Worker (Clinical)
1300 W BELMONT AVE, #401D
CHICAGO, IL 60657
Social Worker (Clinical)
1300 W BELMONT AVE, SUITE 407
CHICAGO, IL 60657
Social Worker (Clinical)
1300 W BELMONT AVE, SUITE #215
CHICAGO, IL 60657
Psychologist
1300 W BELMONT AVE, SUITE 302
CHICAGO, IL 60657
Social Worker (Clinical)
1300 W BELMONT AVE, SUITE 401
CHICAGO, IL 60657
Social Worker (Clinical)
1300 W BELMONT AVE, SUITE 20A
CHICAGO, IL 60657
Psychologist (Clinical)
1300 W BELMONT AVE, SUITE 407
CHICAGO, IL 60657
Social Worker (Clinical)
1300 W BELMONT AVE, SUITE 407
CHICAGO, IL 60657
Counselor (Professional)
1300 W BELMONT AVE, SUITE # 203
CHICAGO, IL 60657
Marriage & Family Therapist
1300 W BELMONT AVE, #401
CHICAGO, IL 60657
Marriage & Family Therapist
1300 W BELMONT AVE, #401
CHICAGO, IL 60657
Counselor (Professional)
1300 W BELMONT AVE, SUITE 309
CHICAGO, IL 60657
Social Worker (Clinical)
1300 W BELMONT AVE, 308
CHICAGO, IL 60657
Counselor
1300 W BELMONT AVE, SUITE 214
CHICAGO, IL 60657
Social Worker (Clinical)
1300 W BELMONT AVE, SUITE 400E
CHICAGO, IL 60657
Social Worker (Clinical)
1300 W BELMONT AVE, #400
CHICAGO, IL 60657
Psychologist (Clinical)
1300 W BELMONT AVE, SUITE 204
CHICAGO, IL 60657
Marriage & Family Therapist
1300 W BELMONT AVE, SUITE 400
CHICAGO, IL 60657

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104055953, enumerated as an "individual" on July 14, 2009.

The provider is located at 1300 W BELMONT AVE SUITE 302 CHICAGO, IL 60657 and the phone number is (773) 883-5398.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.