Psychology Connection of North Shore, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PSYCHOLOGY CONNECTION OF NORTH SHORE, LLC

Practice address

176 Acorn LN
Libertyville, IL 60048-2158

Phone

(847) 630-9403

NPI assigned

Aug 26, 2020

Organization subpart

No

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

Authorized official

Name

Dorota Domanski-Erdman, PSYDNPI 1033206636

Title

Owner; PSYD

Phone

(847) 630-9403

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dorota J Domanski Erdman, PSYD

  • Clinical Psychologist
  • Libertyville, IL
  • NPI 1033206636
  Authorized official Same address or phone

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1558974923",
    "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": "847-630-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY CONNECTION OF NORTH SHORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "DOMANSKI-ERDMAN",
        "authorized_official_first_name": "DOROTA",
        "authorized_official_title_or_position": "OWNER; PSYD",
        "authorized_official_telephone_number": "847-630-9403",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Proepper
• Brooke Projansky, MA, LCPC
• Dean Ames Projansky
• Olga Prutnikov, MSW, LCSW
• Psych Sync Inc.
• Nayna Purohit, MOTR/L
• Ena Puskar
• Jordan Michelle Pyrczak
• Christopher Byron Quick, D.D.S.
• Quickmed, LLC

• Community/Behavioral Health Agency in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Community/Behavioral Health Agency 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.