Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael J Didomenico PSYD

Organization Clinical Neuropsychologist · NPI 1417070152

Michael J Didomenico PSYD is a Clinical Neuropsychologist in Wilmette, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
3

Practice location Address checks out

3545 Lake Ave Ste 100
Wilmette, IL 60091-1058
Phone: (844) 251-1800
Fax: (847) 251-1866
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 071005762 (IL)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 071005762 (IL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 071005762 (IL)

Record details

NPI number1417070152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janeen Berrios — Account Manager · (847) 770-6088
NPI enumeratedApril 9, 2007
Last updated in NPPESSeptember 22, 2011
Mailing addressPo Box 443, Winnetka, IL 60093-0443

Other providers in Wilmette