DR. RICHARD GOLDWASSER (NPI# 1659340776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659340776 |
| Entity Type | Individual |
| Full Name | DR. RICHARD GOLDWASSER |
| Credential | PH D LCPC |
| Practice Address |
203 N Wabash Ave Suite 2000 Chicago IL 60601-2417 |
| Mailing Address |
5636 Oakwood Circle Long Grove IL 60047-8296 |
| Practice Telephone | 3124441777 |
| Mailing Telephone | 8478838834 |
| Mailing Fax Number | 3123372272 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 001278 | CT | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM BC BS | 1633146 | 01 | |
| CIGNA | 62862 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073605572 | Richard Adam Goldwasser | Psychiatry & Neurology | 655 Redwood Highway, #261, Mill Valley, CA 94941-3011 | 2006-09-29 |
| Street Address |
203 N WABASH AVE SUITE 2000 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60601-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205134749 | Heidi Beucher | Acupuncturist | 203 N Wabash Ave, Suite 1007, Chicago, IL 60601-2406 | 2011-03-08 |
| 1578721817 | Mary Gardner | Psychologist | 203 N Wabash Ave, Suite 1805, Chicago, IL 60601-2406 | 2008-05-22 |
| 1376726398 | Infinite Positivity, Inc. | Counselor | 203 N Wabash Ave, Suite 2106, Chicago, IL 60601-2406 | 2007-12-13 |
| 1801001789 | Julia Lynn Banta | Counselor | 203 N Wabash Ave, Suite 2106, Chicago, IL 60601-2406 | 2007-05-13 |
| 1215150412 | Prem K Pahwa | Social Worker | 203 N Wabash Ave, Suite 701, Chicago, IL 60601-2406 | 2007-04-10 |
| 1710003512 | Kimberly A. Sharky | Marriage & Family Therapist | 203 N Wabash Ave, Suite 2106, Chicago, IL 60601-2406 | 2007-03-22 |
| 1770614315 | Mary F. Andrus | Counselor | 203 N Wabash Ave, Suite 2106, Chicago, IL 60601-2406 | 2007-03-07 |
| 1457427239 | Lawrence Paul Maucieri Jr. | Clinical Neuropsychologist | 203 N Wabash Ave, Suite 2106, Chicago, IL 60601-2406 | 2006-11-26 |
| 1770654816 | Gardner Psychological Associates, Inc. | Psychologist | 203 N Wabash Ave, Suite 1805, Chicago, IL 60601-2406 | 2006-11-12 |
| 1952489981 | Brian L Ragsdale | Psychologist | 203 N Wabash Ave, Suite 2106, Chicago, IL 60601-2408 | 2006-11-01 |
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| 1861976532 | Mhn Aco, LLC | Case Management | 180 N. Stetson Avenue, Suite 600-1, 180 N. Stetson Avenue, Suite 600-1, Chicago, IL 60601 | 2018-09-19 |
| 1659861409 | Alison Hirshorn LLC | Community/Behavioral Health | 155 N Michigan Ave Ste 603, Chicago, IL 60601 | 2018-05-17 |
| 1427574714 | Nicole Woodcox Bolden | Social Worker | 205 N Michigan Ave Ste 1660, Chicago, IL 60601 | 2017-08-17 |
| 1912431560 | Shannon Keleher | Social Worker | 155 N Michigan Ave Ste 209, Chicago, IL 60601 | 2017-04-19 |
| 1659828630 | Kevin Mcguyer | Physical Therapist | 151 N Michgan Ave, Chicago, IL 60601 | 2016-09-07 |
| 1598116618 | Charles Raymond Culpepper | Counselor | 155 N Michigan Ave Ste 608, Chicago, IL 60601 | 2016-06-30 |
| 1629494042 | Farah Huq | Counselor | 180 N Michigan Ave, Ste 410, Chicago, IL 60601 | 2014-03-10 |
| 1609147628 | Kathleen M Walsh | Social Worker | 155 N Michigan Av, #523, Chicago, IL 60601 | 2012-01-23 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
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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.