Mindy E. Forman, PsyD
- Affiliated sites
- 1
- State license
- 1
- Year NPI issued
- 2015
- Practice locations
- 2
- Practice address
- 1020 Milwaukee Ave Ste 126, Deerfield, IL 60015-3561
- Practice phone
- Call (248) 703-4880
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Northside Wellness
Physician office · Deerfield, Illinois
Find Mindy Forman's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Mindy E. Forman is a psychologist in Libertyville, Illinois
Mindy Forman practices at Northside Wellness in Deerfield, Illinois.
Mindy Forman's NPI, 1851768725, was assigned on August 27, 2015. Mindy Forman holds Illinois license 071.009917.
- NPI
- 1851768725NPI Registry (opens in a new tab)
- Medicare PAC ID
- 5890034763
- NPI enumeration date
- August 27, 2015
- NPI status
- Active
- Offers telehealth
- Yes
- Practice phone
- (248) 703-4880
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 39
- Medical school graduation
- 2013
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Mindy E. Forman practices in Deerfield and Libertyville
Mindy Forman's primary practice is Northside Wellness, at 1020 Milwaukee Ave Ste 126, Deerfield, IL 60015-3561. The practice phone is (248) 703-4880. The NPI Registry lists Mindy Forman's practice address as 1248 American Way, Libertyville, IL 60048.
- Northside WellnessPrimary1020 Milwaukee Ave Ste 126, Deerfield, IL 60015-3561Phone(248) 703-4880
- NPI Registry address1248 American Way, Libertyville, IL 60048
Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; and Dmand AI Practice Data
Mindy E. Forman is affiliated with 1 site of care
Mindy Forman's primary practice is Northside Wellness in Deerfield, Illinois.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Mindy E. Forman's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Mindy Forman practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Northside Wellness | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across each health system and 6.2K+ hospitals, with verified contacts in the same login.
Mindy E. Forman is one of 308 psychologists in Illinois
Psychologist is Mindy Forman's primary specialty in the NPI Registry, under taxonomy code 103T00000X. Mindy Forman is licensed in Illinois.
Specialties and state licenses
- Psychologist, IllinoisPrimary
Psychologists near Mindy Forman
Counts of psychologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Mindy E. Forman's patients have a median age of 38
Across all payers, Dmand AI patient panel data puts Mindy Forman's median patient age at 38, with 85% women.
Mindy Forman's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 38
Patient panel by sex, all payers
- Women85%
- Men15%
Source: Dmand AI Patient Panel Data
Mindy E. Forman offers telehealth to Medicare patients
CMS lists Mindy Forman as offering telehealth.
- Offers telehealth
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Mindy E. Forman's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Mindy E. Forman
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Mindy E. Forman's NPI number?
Mindy E. Forman's NPI number is 1851768725. It was assigned on August 27, 2015, and it is active in the NPI Registry.
What does Mindy E. Forman specialize in?
Mindy E. Forman is a psychologist in Libertyville, Illinois. The primary specialty in the NPI Registry is Psychologist (taxonomy code 103T00000X).
Where does Mindy E. Forman practice?
Mindy Forman practices at 1020 Milwaukee Ave Ste 126, Deerfield, IL 60015-3561. Mindy Forman also practices at 1248 American Way, Libertyville, IL 60048. Mindy Forman's primary practice is Northside Wellness in Deerfield, Illinois.
What is Mindy E. Forman's office phone number?
The practice phone on file for Mindy Forman is (248) 703-4880.
What is Mindy E. Forman's medical license number?
Mindy Forman holds Illinois license 071.009917, one of 2 state licenses on file.
Does Mindy E. Forman offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Mindy Forman as offering telehealth services.
How long has Mindy E. Forman been practicing?
Mindy Forman graduated from medical school in 2013, 13 years ago.
Selling to psychologist practices?
See psychologists in Illinois by site of care and group
Find the practices, groups and hospitals they work with, and the right people to contact at each.
- 30 days free
- Self-serve
- No credit card