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

Individual provider Clinical Psychologist · NPI 1861442345

Michael J Di Domenico, PSYD is a Clinical Psychologist in Northbrook, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

707 Skokie Blvd Ste 600
Northbrook, IL 60062-2841
Phone: (630) 632-0746
Fax: (847) 272-8221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 071005762 (IL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 071055762 (IL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 071005762 (IL)

Record details

NPI number1861442345
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedMay 12, 2006
Last updated in NPPESJuly 25, 2022
Certification dateJuly 14, 2022

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