Organization
MINDY E FORMAN PSYD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINDY ERIN FORMAN PSYD (CLINICAL PSYCHOLOGISY)
(248) 703-4880
Entity
Organization
Contact information
Practice address
1020 MILWAUKEE AVE STE 126, DEERFIELD, IL 60015-3561
(248) 703-4880
Mailing address
255 BRISTOL CT, DEERFIELD, IL 60015-4850
(248) 703-4880
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
11/07/2020
Last updated
04/18/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us