NPPES file of Aug 9, 2026

Mindy Forman, PSYD

Psychologist · Libertyville, IL

Mindy Forman, PSYD is a psychologist with a practice address in Libertyville, Illinois, and NPI 1851768725, issued on Aug 27, 2015. Check the license (Illinois 071.009917, as entered in NPPES) with the Illinois board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1851768725
Name
Mindy Forman
Credential
PSYD
Primary taxonomy
Psychologist 103T00000X
License number
071.009917 IL
Self-reported in NPPES; status is on the state search
Practice location
1248 American Way, Libertyville, IL 60048
Phone
(224) 433-6744
Enumerated
Aug 27, 2015
Record last updated
Dec 13, 2018 (not updated in 8 years: call before relying on the address or phone)
Medicaid ID
1851768725 IL
Medicare enrollment
Enrolled (PECOS I20190312001003); may accept Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1248 American Way

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Arellys AguinagaClinical Psychologist1306129028
  2. Kelly Behrends, PSYDClinical Psychologist1598809113
  3. Danielle Bent, LSWSocial Worker1508667155
  4. Melissa Brennan, ED.S, LCPCProfessional Counselor1093853533
  5. Colleen DunnMental Health Counselor1083389605
  6. Matthew Fleming, LCSWClinical Social Worker1669207452

Verify Mindy Forman in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this profession
    Search for license 071.009917
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Mindy Forman among 1,011 psychologist records in Illinois

Mindy Forman, PSYD is one of 1,011 psychologist records with a practice address in Illinois. 11% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2015, is newer than 57% of them.

  • NPI issued2015 · 57% of these records are older, 40% newer
  • In a Medicare fileNo · 11% of these records are
  • In the CMS Doctors and Clinicians fileYes · 20% of these records are
  • Graduated2013 · median 2001 among the 201 with a school on file
  • Record last updated2018 · 62% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103T00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

12 psychologist records list a practice address in Libertyville

They are 12 of the 1,361 NPPES records with a practice address in Libertyville, and 1,011 psychologist records in Illinois. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 psychologist records with the nearest ZIP codes

  1. Kara AnastLibertyville, IL 600481083016117
  2. Karina Bortnik, PSY.D.Libertyville, IL 600481548388036
  3. Elizabeth Cucci, PSY.D.Libertyville, IL 600481053662734
  4. Heather Digby, PSYDLibertyville, IL 600481679910210
  5. Anuja Gadgil, PSYDLibertyville, IL 600481043984644
  6. Fatima HusainLibertyville, IL 600481235097247
  7. Leisel Iverson, ATCLibertyville, IL 600481295486769
  8. Hannah Paullin, M.EDLibertyville, IL 600481578353314

Common questions

What is Mindy Forman, PSYD's NPI number?

Mindy Forman, PSYD's National Provider Identifier (NPI) is 1851768725, issued on Aug 27, 2015. An NPI identifies a provider in billing; it is not a license.

Where is Mindy Forman, PSYD located?

The NPPES record lists a practice address at 1248 American Way, Libertyville, IL, 60048. Phone: (224) 433-6744. Providers update this record themselves, so call before visiting.

How can I verify Mindy Forman, PSYD's license?

NPPES lists Illinois license number 071.009917, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.