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

Mindy E Forman PSYD PLLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1225639990

Mindy E Forman PSYD PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Deerfield, Illinois. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1020 Milwaukee Ave Ste 126
Deerfield, IL 60015-3561
Phone: (248) 703-4880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1225639990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mindy Forman — Clinical Psychologisy · (248) 703-4880
NPI enumeratedNovember 7, 2020
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025
Mailing address255 Bristol Ct, Deerfield, IL 60015-4850

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