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MICHAEL J DI DOMENICO PSYD
NPI 1861442345
Clinical Neuropsychologist in Northbrook, IL

Active since May 12, 2006
707 SKOKIE BLVD STE 600, NORTHBROOK, IL 60062(630) 632-0746(847) 272-8221 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2022, Mar 31, 2021, Jan 19, 2017 and 1 more (4 updates tracked since 2016).

About Michael J Di Domenico Psyd NPPES

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

MICHAEL J DI DOMENICO PSYD (NPI 1861442345) is an individual clinical neuropsychologist in Northbrook, Illinois, licensed in Illinois (071005762) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1861442345
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameMICHAEL J DI DOMENICOCredential: PSYD
Location Address707 SKOKIE BLVD STE 600Northbrook, IL 60062-2841
Mailing AddressPo Box 472Northbrook, IL 60065-0472 · (847) 504-4060 · Fax (847) 919-8399
Phone(630) 632-0746
Fax(847) 272-8221
Sole ProprietorYes
Enumeration DateMay 12, 2006
Last NPPES UpdateJuly 25, 20224 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
✔ NPI 1861442345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in IL · 071005762
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 071055762 (IL), 071005762 (IL)
707 SKOKIE BLVD STE 600, Northbrook, IL 60062
Open in Google Maps ↗

Other Identifiers 1

Other1623280IL · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

ABSOLUTE THERAPY SERVICES LLC
Physical Therapist
707 SKOKIE BLVD STE 600
NORTHBROOK, IL 60062
Cook County (847) 644-3628
INTROSPEKT THERAPY
Clinic/Center (Mental Health (Including Community Mental Health Center))
707 SKOKIE BLVD STE 600
NORTHBROOK, IL 60062
Cook County (630) 733-9207
REBECCA RODRIGUEZ
Occupational Therapist
707 SKOKIE BLVD STE 600
NORTHBROOK, IL 60062
Cook County (888) 711-2043
MALLORI LANCASTER DPT
Physical Therapist
707 SKOKIE BLVD STE 600
NORTHBROOK, IL 60062
Cook County (888) 711-2043
KATHLEEN TRAINOR
Speech-Language Pathologist
707 SKOKIE BLVD STE 600
NORTHBROOK, IL 60062
Cook County (888) 711-2043
JARED VELASCO
Registered Nurse
707 SKOKIE BLVD STE 600
NORTHBROOK, IL 60062
Cook County (847) 644-3628
APRIL VICTORIA CABRERA
Physical Therapist
707 SKOKIE BLVD STE 600
NORTHBROOK, IL 60062
Cook County (847) 644-3628
KATHERINE LOFING
Speech-Language Pathologist
707 SKOKIE BLVD STE 600
NORTHBROOK, IL 60062
Cook County (888) 711-2043

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 Michael Di Domenico's NPI number?

The NPI number for Michael Di Domenico is 1861442345. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Michael Di Domenico located?

Michael Di Domenico practices at 707 Skokie Blvd Ste 600, Northbrook, IL 60062. The listed phone number is (630) 632-0746.

What is Michael Di Domenico's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Michael Di Domenico was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.