National Provider Identifier Database

LOUIS J FORMICA, PhD – NPI #1861092686
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

LOUIS J FORMICA, PhD
3660 N LAKE SHORE DR STE 201
CHICAGO, IL60613-5302
Phone: 773-759-5126
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Counseling 103TC1900X

* Indicates primary specialty

NPI Profile & details for LOUIS J FORMICA

NPI Number 1861092686
Credentials PhD
Entity Individual
Enumeration date 10/30/2020
Last updated 10/30/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 071.010375
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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