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

Dr. Louis Joseph Formica, PHD

Individual provider Clinical Psychologist · NPI 1861092686

Dr. Louis Joseph Formica, PHD is a Clinical Psychologist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3660 N Lake Shore Dr Ste 201
Chicago, IL 60613-5302
Phone: (773) 759-5126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071.010375 (IL)
Counseling Psychologist Taxonomy 103TC1900X · Licence 071.010375 (IL)

Record details

NPI number1861092686
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 30, 2020
Last updated in NPPESOctober 30, 2020
Certification dateOctober 30, 2020

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