PSYCHOLOGY CONNECTION OF NORTH SHORE, LLC
NPI 1558974923
Community/Behavioral Health in Libertyville, IL

Active since August 26, 2020
176 ACORN LN, LIBERTYVILLE, IL 60048(847) 630-9403 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2022, Oct 25, 2020, Oct 9, 2020 and 2 more (5 updates tracked since 2020).

About Psychology Connection Of North Shore, Llc NPPES

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

PSYCHOLOGY CONNECTION OF NORTH SHORE, LLC (NPI 1558974923) is a healthcare organization registered as a community/behavioral health in Libertyville, Illinois and active in the NPI registry since August 2020. The organization lists Dorota Domanski-erdman, Owner; Psyd, as its authorized official.

NPPES Registry Identity

NPI1558974923
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePSYCHOLOGY CONNECTION OF NORTH SHORE, LLC
Location Address176 ACORN LNLibertyville, IL 60048-2158
Mailing Address176 Acorn LnLibertyville, IL 60048-2158 · (847) 630-9403 · Fax (708) 468-4991
Organization SubpartNo
Authorized OfficialDorota Domanski-erdmanOwner; Psyd · (847) 630-9403
Enumeration DateAugust 26, 2020
Last NPPES UpdateJuly 24, 20255 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
NPI 1558974923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
176 ACORN LN, Libertyville, IL 60048

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
176 ACORN LN
LIBERTYVILLE, IL 60048

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 Psychology Connection Of North Shore, LLC's NPI number?

The NPI number for Psychology Connection Of North Shore, LLC is 1558974923. It was assigned to this organization in the NPPES registry on August 26, 2020.

Where is Psychology Connection Of North Shore, LLC located?

Psychology Connection Of North Shore, LLC is located at 176 Acorn Ln, Libertyville, IL 60048. The listed phone number is (847) 630-9403.

What is Psychology Connection Of North Shore, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Psychology Connection Of North Shore, LLC was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.