Individual provider Active NPI

Madison Pomden, PHD

  • Psychologist
  • Libertyville, IL
National Provider Identifier
1073280681
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071022324 Issued in IL
Practice address
1860 W Winchester Rd Ste 106
Libertyville, IL 60048-5312
Phone
(847) 816-6335
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071022324 IL Primary

Addresses

Primary practice location

1860 W Winchester Rd Ste 106
Libertyville, IL 60048-5312

Mailing address

PO Box 14545
Belfast, ME 04915-4038
Phone (847) 816-6335

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251126003875 IL Practitioner - Clinical Psychologist 4688166556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ganesha Institute of Neurology and Psychiatry SCGroup PAC ID 0042432296, 25 clinicians

Practice addresses (Care Compare)

1850 W Winchester Rd
Suite 115
Libertyville, IL 60048-5357
Phone (847) 816-6335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071022324ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ganesha Institute of Neurology and Psychiatry SC Psychologist CurrentSince Aug 18, 2025 Accepting new patients
Ganesha Institute of Neurology and Psychiatry SC CurrentSince Aug 18, 2025 Accepting new patients
Balance Mental Health and Wellness LLC. PastSince Aug 1, 2021 Accepting new patients
Balance Health and Wellness Mental Health PastSince Aug 1, 2021 Accepting new patients
Ganesha Institute of Neurology and Psychiatry SC Psychologist Past Accepting new patients

Locations

1850 W Winchester Rd
Ste 115
Libertyville, IL 60048
Phone (847) 816-6335

1860 W Winchester Rd
Ste 106
Libertyville, IL 60048
Phone (847) 599-0715

Interoperability endpoints

  • Direct secure messaging: madison.pomden.1@9664.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1073280681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14545",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154038",
            "telephone_number": "847-816-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 W WINCHESTER RD STE 106",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485312",
            "telephone_number": "847-816-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMDEN",
        "first_name": "MADISON",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071022324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.