DR. OLIVIA DOMCZEWSKI PSYD
NPI 1164997490
Psychologist - Clinical in Lombard, IL

Q: What is Olivia Domczewski's NPI number?

The NPI number for Olivia Domczewski is 1164997490. It was assigned to this individual provider in the NPPES registry on October 13, 2018.

Q: What is Olivia Domczewski's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Olivia Domczewski was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 13, 2018PECOS EnrolledAccepts Medicare Assignment

2340 S HIGHLAND AVE STE 210, LOMBARD, IL 60148(815) 416-6725 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 24, 2023, Apr 27, 2021, Mar 1, 2021 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Olivia Domczewski Psyd NPPES

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

DR. OLIVIA DOMCZEWSKI PSYD (NPI 1164997490) is an individual clinical provider in Lombard, Illinois, licensed in Illinois (071009871) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1164997490

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. OLIVIA DOMCZEWSKICredential: PSYD

Location Address2340 S HIGHLAND AVE STE 210Lombard, IL 60148-7132

Mailing AddressPo Box 713260Chicago, IL 60677-0264 · (630) 469-9200

Phone(815) 416-6725

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 13, 2018

Last NPPES UpdateMay 24, 20234 updates tracked since enumeration

NPPES CertifiedMay 24, 2023

✔ NPI 1164997490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071009871

Definition

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.

2340 S HIGHLAND AVE STE 210, Lombard, IL 60148

Open in Google Maps ↗

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

Dr. Olivia Domczewski Psyd 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 ID5294065330

PECOS Enrollment IDI20191002002839

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60148 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$181.38 typical visit price

range $59.81 – $181.38

Typical copayment $45.34 (range $14.95 – $45.34)

Most-billed visit code 99205

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

CHRISTINE SOLANS

Internal Medicine

2340 S HIGHLAND AVE STE 210
LOMBARD, IL 60148

Dupage County (630) 932-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olivia Domczewski's NPI number?

The NPI number for Olivia Domczewski is 1164997490. It was assigned to this individual provider in the NPPES registry on October 13, 2018.

Where is Olivia Domczewski located?

Olivia Domczewski practices at 2340 S Highland Ave Ste 210, Lombard, IL 60148. The listed phone number is (815) 416-6725.

What is Olivia Domczewski's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Olivia Domczewski enrolled in Medicare?

Yes. Olivia Domczewski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Olivia Domczewski was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.