Michael J Didomenico Psyd

LBN: Michael J Didomenico Psyd
Michael J Didomenico Psyd is an health care organization with primary practice located at 3545 Lake Ave Ste 100 , Wilmette IL 60091-1058. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty. Michael J Didomenico Psyd can be contacted via phone (844) 251-1800, or through Berrios, Janeen via phone (847) 770-6088.

Contact Information

Primary practice address
3545 Lake Ave Ste 100 Wilmette IL 60091-1058
Phone: (844) 251-1800
Fax: (847) 251-1866
Website:
Map and Directions
Authorized official contact:
Name: Berrios, Janeen
Phone: (847) 770-6088

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071005762 Illinois
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 071005762 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071005762 Illinois

Profile Details

NPI number 1417070152
LBN Legal business name Michael J Didomenico Psyd
DBA Doing business as
Authorized official Berrios, Janeen
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Sep 22nd, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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