Mindy Forman is a Libertyville, Illinois based psychologist with 12 years of experience in Psychology. She completed her graduation in 2013. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Mindy Forman is 071.009917 for General Psychology in Illinois. Her current practice location is 1248 American Way, Libertyville. Patients can reach her at 224-433-6744. Mindy Forman is PSYD in Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1851768725. Mindy Forman is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, she performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. She can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Mindy Forman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mindy Forman
Specialization:
Psychology
Gender:
Female
Credentials:
PSYD
Accepts Medicare Assignment:
May Accept
Practice Address:
1248 American Way, Libertyville, Illinois, 60048-3936
Phone:
224-433-6744
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5890034763
Enrollment ID:
I20190312001003
NPI Number:
1851768725
NPI Enumeration Date:
27 Aug, 2015
NPI Last Update On:
13 Dec, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mindy Forman are as mentioned below.
License Number
Specialization
State
Status
071.009917
General Psychology
Illinois
Primary
Counselor
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mindy Forman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1851768725
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mindy Forman 1248 American Way, Libertyville, Illinois
Zip:
60048-3936
Phone Number:
224-433-6744
Patients can reach Mindy Forman at 1248 American Way, Libertyville, Illinois or can call to book an appointment on 224-433-6744.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.