GOLDSTEIN NEUROPSYCHOLOGISTS PC (NPI# 1063568210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063568210 |
| Entity Type | Organization |
| Organization Name | GOLDSTEIN NEUROPSYCHOLOGISTS PC |
| Other Organization Name | MICHIGAN AVENUE NEUROPSYCHOLOGISTS |
| Practice Address |
200 S Michigan Ave Suite 710 Chicago IL 60604-2402 |
| Practice Telephone | 3122121776 |
| Practice Fax Number | 3122121778 |
| Mailing Telephone | 3122121776 |
| Mailing Fax Number | 3122121778 |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2009-06-08 |
| Authorized Official Name | DR. DIANA SUSAN GOLDSTEIN (PRESIDENT & CEO) |
| Authorized Official Telephone | 3122121776 |
| Authorized Official Credential | PH.D., ABPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 20041441A | IN | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
071006006 | IL | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
20041441A | IN | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
071006006 | IL | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
20041441A | IN | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 071006006 | IL | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 20041441A | IN | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | 071006006 | IL | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Michigan Avenue Neuropsychologists | Doing Business As Name - Organization |
| Street Address |
200 S MICHIGAN AVE SUITE 710 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60604-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083608343 | Cynthia Ann Levin | Psychologist | 200 S Michigan Ave, #710, Chicago, IL 60604-2402 | 2005-09-01 |
| 1679969182 | Greg D Ewert Md Sc | Internal Medicine | 200 S Michigan Ave, Suite 805, Chicago, IL 60604-2402 | 2015-04-10 |
| 1912310319 | Angelo A Costas Md Sc | Internal Medicine | 200 S Michigan Ave, Suite 805, Chicago, IL 60604-2402 | 2014-06-04 |
| 1750724464 | David K. Zich, Md, Sc | Emergency Medicine | 200 S Michigan Ave, Suite 830, Chicago, IL 60604-2402 | 2013-04-11 |
| 1467794859 | Sheila Downey Ballintine | Internal Medicine | 200 S Michigan Ave, Suite 805, Chicago, IL 60604-2402 | 2013-03-23 |
| 1932444312 | Joy Georgiana Economos | Physician Assistant | 200 S Michigan Ave, Suite 805, Chicago, IL 60604-2402 | 2012-12-11 |
| 1427304724 | Theresa Wang | Dentist | 200 S Michigan Ave, Suite 1400, Chicago, IL 60604-2402 | 2012-07-24 |
| 1467773986 | David Alan Vermylen | Internal Medicine | 200 S Michigan Ave, Suite 805, Chicago, IL 60604-2402 | 2010-06-18 |
| 1114186038 | Wendy Carolyn Goodall Mcdonald | Obstetrics & Gynecology | 200 S Michigan Ave, Suite 1550, Chicago, IL 60604-2402 | 2008-06-05 |
| 1790944064 | Women's Health Consulting Il, LLC | Obstetrics & Gynecology | 200 S Michigan Ave, Suite 1550, Chicago, IL 60604-2402 | 2008-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750853719 | Michael Cramer | Nurse Practitioner | 322 S. Michigan Ave, Suite 1100, Chicago, IL 60604 | 2018-12-31 |
| 1174079883 | Cardinal Technical Sc | Specialist | 208 Lasalle Street, Suite 214, Chicago, IL 60604 | 2016-09-01 |
| 1427412436 | Your Choice Homecare, Inc. | Home Health | 332 S. Michigan Ave., Suite 1032-y43, Chicago, IL 60604 | 2016-04-06 |
| 1548634843 | Catherine Ranieri | Counselor | 53 W Jackson Blvd Ste 1625, Chicago, IL 60604 | 2015-11-24 |
| 1356710701 | Otis Peeples | Counselor | 134 N Lasalle Suite 400, Chicago, IL 60604 | 2015-09-16 |
| 1124495916 | Te You Moore | Counselor | 53 W Jackson Blvd Ste 1360, Chicago, IL 60604 | 2015-08-27 |
| 1992187686 | Kathryn Weaver | Psychiatry & Neurology | 343 South Dearborn Street Apt # 304, Chicago, IL 60604 | 2015-06-18 |
| 1700162583 | Tracy Bisterfeldt | Psychologist | 53 W. Jackson Blvd., Unit 635, Chicago, IL 60604 | 2011-10-25 |
| 1619201084 | Jennifer Gurski | Social Worker | 53 W. Jackson Blvd, Chicago, IL 60604 | 2009-10-01 |
| 1578736252 | Richard A Reschke | Naprapath | 141 W. Jackson Boulevard, Suite 2170, Chicago, IL 60604 | 2008-04-02 |
| Find all providers in zip 60604 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649830159 | Natalie Berger | Clinical Neuropsychologist | 1645 W Jackson Blvd Ste 203, Chicago, IL 60612-3227 | 2019-06-17 |
| 1225575871 | Israel Gross | Clinical Neuropsychologist | 1934 W. Roscoe St., #4, Chicago, IL 60657 | 2017-01-20 |
| 1144680703 | Brenda Henderson | Clinical Neuropsychologist | 7958 S Michigan Ave, Chicago, IL 60619-3509 | 2016-02-25 |
| 1386002871 | Karen Rottier | Clinical Neuropsychologist | 1539 W Oakdale Ave, Chicago, IL 60657-4010 | 2016-01-29 |
| 1952784589 | Jana Wingo | Clinical Neuropsychologist | 320 E Superior St, Chicago, IL 60611-3010 | 2015-07-01 |
| 1275947236 | Mattthew Paul Richmond | Clinical Neuropsychologist | 33 N Dearborn St Ste 1600, C/o Dr. Matthew Richmond, Chicago, IL 60602-3102 | 2014-06-18 |
| 1437578044 | Jason Ryan Soble | Clinical Neuropsychologist | 912 S Wood St # Mc913, Chicago, IL 60612-4300 | 2014-04-10 |
| 1245671841 | David A Meyerson | Clinical Neuropsychologist | 2500 W Bradley Pl, Suite 100, Chicago, IL 60618-4702 | 2013-07-11 |
| 1700136850 | Melissa Shoemaker | Clinical Neuropsychologist | 2835 N Sheffield Ave Ste 202, Chicago, IL 60657-5083 | 2012-09-17 |
| 1518214451 | Christopher Conley Stewart | Clinical Neuropsychologist | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2012-08-09 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.