Mindy E Forman Psyd PLLC
NPI 1225639990 · Mental Health Clinic/Center (Including Community Mental Health Center) · Deerfield, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mindy E Forman Psyd PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Deerfield, IL (NPI 1225639990).
Provider details
- NPI number
- 1225639990
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mindy Forman, Clinical Psychologisy(248) 703-4880
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-11-07
- Last updated
- 2025-04-18
- Certified
- 2025-04-18
Frequently asked questions
- What is Mindy E Forman Psyd PLLC's NPI number?
- Mindy E Forman Psyd PLLC's National Provider Identifier (NPI) is 1225639990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mindy E Forman Psyd PLLC?
- Mindy E Forman Psyd PLLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Mindy E Forman Psyd PLLC located?
- Mindy E Forman Psyd PLLC's practice location on file with NPPES is 1020 Milwaukee Ave Ste 126, Deerfield, IL 60015-3561.
- What is Mindy E Forman Psyd PLLC's phone number?
- The practice phone number listed in the NPPES registry for Mindy E Forman Psyd PLLC is (248) 703-4880.
- Does Mindy E Forman Psyd PLLC accept Medicare?
- Mindy E Forman Psyd PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mindy E Forman Psyd PLLC?
- The authorized official listed on Mindy E Forman Psyd PLLC's NPPES record is Mindy Forman, Clinical Psychologisy. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mindy E Forman Psyd PLLC's NPI active?
- Yes — Mindy E Forman Psyd PLLC's NPI (1225639990) is active in the NPPES registry as of the last update on 2025-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.