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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Michael J Di Domenico, PSYD

Clinical Neuropsychologist in Northbrook, IL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1861442345

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Registry record

Entity type Individual (Type 1)
Name Michael J Di Domenico
Credential PSYD
Sex Male
Practice address Northbrook, IL, 60062
Fax (847) 272-8221
Enumeration date May 12, 2006
Last updated in NPPES Jul 25, 2022

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 071055762 (IL) Secondary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 071005762 (IL) Secondary
103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers · License 071005762 (IL) Primary
PSYD · Doctor of Psychology: A clinical doctorate in psychology focused on professional practice. About the PSYD credential

Other identifiers

Identifier Type State Issuer
1623280 Other IL BLUE CROSS BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Michael Di Domenico practice?
The practice location on file with NPPES is in Northbrook, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Michael Di Domenico?
The National Provider Identifier (NPI) for Michael Di Domenico is 1861442345, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-25.