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

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: July 19, 2026.

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

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
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

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.

Internal Medicine
2340 S HIGHLAND AVE STE 210
LOMBARD, IL 60148

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164997490, enumerated as an "individual" on October 13, 2018.

The provider is located at 2340 S HIGHLAND AVE STE 210 LOMBARD, IL 60148 and the phone number is (815) 416-6725.

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