NPIMap

Organization Active NPI

Domczewski Behavioral Medicine and Consultation PLLC

  • Psychologist
  • Hanover Park, IL
National Provider Identifier
1659228922
Registry record updated Mar 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
DOMCZEWSKI BEHAVIORAL MEDICINE AND CONSULTATION PLLC
Practice address
5877 S Bradley CT
Hanover Park, IL 60133-5207
Phone
(224) 500-0153
NPI assigned
Mar 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2026

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

Authorized official

Name
Dr. Olivia Domczewski, PSYDNPI 1164997490
Title
Owner, Clinical Psychologist
Phone
(224) 500-0153

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Health PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0004X

Addresses

Primary practice location

5877 S Bradley CT
Hanover Park, IL 60133-5207

Mailing address

5877 S Bradley CT
Hanover Park, IL 60133-5207
Phone (224) 500-0153

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773446400000",
    "number": "1659228922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5877 S BRADLEY CT",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335207",
            "telephone_number": "224-500-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5877 S BRADLEY CT",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335207",
            "telephone_number": "224-500-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMCZEWSKI BEHAVIORAL MEDICINE AND CONSULTATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-14",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "status": "A",
        "authorized_official_last_name": "DOMCZEWSKI",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "OWNER, CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "224-500-0153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.