MICHAEL J DIDOMENICO PSYD – Clinical Neuropsychologist, NPI 1417070152

MICHAEL J DIDOMENICO PSYD is a healthcare provider. based in Winnetka, Illinois. specializing in Clinical Neuropsychologist. The organization holds a License No. 071005762 (IL). The NPI Number for MICHAEL J DIDOMENICO PSYD is 1417070152

Main info

Organization
Name
MICHAEL J DIDOMENICO PSYD
NPI
1417070152
Phone
(847) 770-6088
Address
PO BOX 443
Authorized Official
JANEEN BERRIOS ACCOUNT MANAGER
Enumeration Date
9 April 2007
Last Update Date
22 September 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MICHAEL J DIDOMENICO PSYD

  • PO BOX 443

    WINNETKA, IL 600930443

    Phone: (847) 770-6088

    Fax: (847) 562-0202

    Type: Mailing

  • 3545 LAKE AVE STE 100

    WILMETTE, IL 600911058

    Phone: (844) 251-1800

    Fax: (847) 251-1866

    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

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60093)

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Frequently asked questions

What unique ID ties claims to MICHAEL J DIDOMENICO PSYD?
NPI 1417070152 is assigned to MICHAEL J DIDOMENICO PSYD under the national enumeration system.
Is MICHAEL J DIDOMENICO PSYD active in the national directory?
MICHAEL J DIDOMENICO PSYD's public NPI profile is in an active state.
Can you summarize MICHAEL J DIDOMENICO PSYD's specialty in plain language?
Clinically, the directory lists MICHAEL J DIDOMENICO PSYD with Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for MICHAEL J DIDOMENICO PSYD?
The page summarizes Winnetka, Illinois for MICHAEL J DIDOMENICO PSYD; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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