Dorota J Domanski Erdman, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071006002 Issued in IL

Practice address

176 Acorn LN
Libertyville, IL 60048-2158

Phone

(847) 394-4174

Fax

(847) 394-4176

NPI assigned

Oct 6, 2006

Last updated

Jul 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: derdman277107@direct.northshore.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Swedish Covenant Management Services, Inc.

  dba Swedish Covenant Medical Group

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1760432348
  Medicare reassignment NPD
• Psychology Connection of North Shore, LLC

  • Community/Behavioral Health Agency
  • Libertyville, IL
  • NPI 1558974923
  Authorized official Same address or phone
• Swedish Covenant Management Services, Inc

  dba Swedish Emergency Medicine

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1962049551
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1033206636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 ACORN LN",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482158",
            "telephone_number": "847-630-9403",
            "fax_number": "708-468-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 ACORN LN",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482158",
            "telephone_number": "847-394-4174",
            "fax_number": "847-394-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMANSKI ERDMAN",
        "first_name": "DOROTA",
        "middle_name": "J",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "derdman277107@direct.northshore.org",
            "affiliation": "N",
            "address_1": "176 Acorn Ln",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600482158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thao T Doan, MD
• Jeffrey Dobie
• Helene M Dolce, D.D.S.
• Carley Dolence
• Cora Dollenmaier
• Kinsley Donahue, LPC
• Thomas Doporcyk, PHARMD
• Blake Webster Dowell, O.D.
• Linda S Doyle, NP-C
• Dr Zhongs Family Care

• Clinical Psychologist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.