MICHAEL J DI DOMENICO (PSYD) – Clinical Neuropsychologist, NPI 1861442345

MICHAEL J DI DOMENICO (PSYD) is a healthcare provider. based in Northbrook, Illinois. specializing in Clinical Neuropsychologist. They hold the professional credentials PSYD. They hold a License No. 071055762 (IL). The NPI Number for MICHAEL J DI DOMENICO (PSYD) is 1861442345

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL J DI DOMENICO (PSYD)
NPI
1861442345
Phone
(847) 504-4060
Address
PO BOX 472
Enumeration Date
12 May 2006
Last Update Date
25 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6306320746
Graduation Year
1995 (31 years ago)
PAC ID
3375710122
Professional Enrollment ID
I20120118000695

Contacts

Other Endpoint
n/a
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

Provider Addresses for MICHAEL J DI DOMENICO (PSYD)

  • PO BOX 472

    NORTHBROOK, IL 600650472

    Phone: (847) 504-4060

    Fax: (847) 919-8399

    Type: Mailing

  • 707 SKOKIE BLVD STE 600

    NORTHBROOK, IL 600622841

    Phone: (630) 632-0746

    Fax: (847) 272-8221

    Type: Location

  • Lake Cook Road, Lee Acres, Northbrook, Cook County, Illinois, 60015, United States

    SUITE 306

    NORTHBROOK, IL 600621447

    Phone: (630) 632-0746

    Fax: (847) 272-8221

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes17018$0
90837Psychotherapy, 1 hour13021$0
96133Evaluation of neuropsychological test, each additional hour4613$0
96137Administration of psychological or neuropsychological test, each additional 30 minutes2212$0
96136Administration of psychological or neuropsychological test, first 30 minutes1817$0
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Insurance plans in this area (ZIP 60065)

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Provider's Procedures

MICHAEL J DI DOMENICO (PSYD) performs procedures in Clinical Neuropsychologist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHOLOGIST, CLINICALIL96118Neuropsychological testing, interpretation, and report by psychologist or physician per hour16828

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Frequently asked questions

What NPI should I save for MICHAEL J DI DOMENICO (PSYD)?
Save NPI 1861442345 if you need a stable reference for MICHAEL J DI DOMENICO (PSYD).
Is MICHAEL J DI DOMENICO (PSYD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MICHAEL J DI DOMENICO (PSYD) list a primary specialty?
If you are matching referrals, note Clinical Neuropsychologist for MICHAEL J DI DOMENICO (PSYD). Clinical services aligned with this taxonomy classification.
Where is MICHAEL J DI DOMENICO (PSYD)'s primary listing?
We display Northbrook, Illinois because that is what the record indicates for MICHAEL J DI DOMENICO (PSYD).
How can I contact MICHAEL J DI DOMENICO (PSYD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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