DR. LOUIS JOSEPH FORMICA PH.D. - NPI 1861092686

Q: What is Louis Formica's NPI number?

The NPI number for Louis Formica is 1861092686. It was assigned to this individual provider in the NPPES registry on October 30, 2020.

Q: What is Louis Formica'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 Louis Formica was last updated on October 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Louis Joseph Formica Ph.d. NPPES

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

DR. LOUIS JOSEPH FORMICA PH.D. (NPI 1861092686) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.010375) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1861092686

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LOUIS JOSEPH FORMICACredential: PH.D.

Location Address3660 N LAKE SHORE DR STE 201Chicago, IL 60613-5302

Mailing Address3660 N Lake Shore Dr Ste 201Chicago, IL 60613-5302 · (773) 759-5126

Phone(773) 759-5126

Sole ProprietorNo

Enumeration DateOctober 30, 2020

NPPES CertifiedOctober 30, 2020

✔ NPI 1861092686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071.010375

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.

Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 071.010375 (IL)

3660 N LAKE SHORE DR STE 201, Chicago, IL 60613

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Other Providers at the Same Location NPPES 16

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

INSIGHT PSYCHOLOGICAL SERVICES PLLC

Psychologist (Clinical)