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

Mindy Forman, PSYD

Individual provider Counselor · NPI 1851768725

Mindy Forman, PSYD is a Clinical Psychologist in Libertyville, Illinois. Qualified in 2013, 13 years ago. Works from 2 locations and offers telehealth. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2015
Specialties on file
2
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

1248 American Way
Libertyville, IL 60048-3936
Phone: (224) 433-6744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6918 W Windsor Ave, Berwyn, IL 60402-3334 — (708) 745-5277

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 071.009917 (IL)
Counselor Taxonomy 101Y00000X

Record details

NPI number1851768725
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedAugust 27, 2015
Last updated in NPPESDecember 13, 2018
Mailing address1248 American Way, Libertyville, IL 60048-3936

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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