DR. DAVID GOODMAN (NPI# 1669586897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669586897 |
| Entity Type | Individual |
| Full Name | DR. DAVID GOODMAN |
| Credential | DAVID GOODMAN |
| Practice Address |
405 Illinois Ave Suite 2c St Charles IL 60174-2963 |
| Practice Telephone | 6303773535 |
| Practice Fax Number | 6305309527 |
| Mailing Telephone | 6303773535 |
| Mailing Fax Number | 6305309527 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BC/BS PROVIDER NUMBER | 4572009 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811258775 | David Allen Goodman | Preventive Medicine | 3939 Monona Dr, 101, Monona, WI 53716-1175 | 2012-06-06 |
| 1417236431 | David Goodman | Technician/Technologist | 11029 Mill Centre Dr, Suite 101, Owings Mills, MD 21117-3275 | 2011-08-08 |
| 1407064504 | David M. Goodman | Speech-Language Pathologist | 23480 Sanabria Loop, Bonita Springs, FL 34135-5380 | 2007-05-20 |
| 1548309867 | David Todd Goodman | Optometrist | 107 Lexington Plz, Lexington, TN 38351-1505 | 2007-02-05 |
| 1265588511 | David Edward Goodman | General Practice | 300 Professional Center Dr Ste 326, Novato, CA 94947-4334 | 2007-01-26 |
| 1649380924 | David J Goodman | Psychologist | W175n11081 Stonewood Dr Ste 212, Germantown, WI 53022-4771 | 2006-08-30 |
| 1982639803 | David Wayne Goodman | Psychologist | 2639 Sunset Avenue, Suite B, Rocky Mount, NC 27804-3700 | 2006-07-11 |
| 1619922168 | David L Goodman | Chiropractor | 7256 Rising Sun Ave, Philadelphia, PA 19111-3948 | 2006-05-23 |
| 1487637997 | David L Goodman | Allergy & Immunology | 3601 S Clarkson, Suite 200, Englewood, CO 80113-3946 | 2005-11-29 |
| 1023006467 | David Jason Goodman | Nurse Practitioner | 2611b Se 17th St, Ocala, FL 34471-5520 | 2005-10-10 |
| Street Address |
405 ILLINOIS AVE SUITE 2C |
| City | ST CHARLES |
| State | IL |
| Zip Code | 60174-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235137050 | Sharmistha Bose | Psychologist | 405 Illinois Ave, Suite 2c, St Charles, IL 60174-2963 | 2005-07-14 |
| 1508215286 | Karen Baker | Psychologist | 405 Illinois Ave, Suite C, St Charles, IL 60174-2963 | 2016-06-03 |
| 1851643555 | Perry Weingart | Psychologist | 405 Illinois Ave, Suite 2c, St Charles, IL 60174-2963 | 2012-10-05 |
| 1871609867 | Paulette C. Toburen | Psychologist | 405 Illinois Ave, Ste 2c, St Charles, IL 60174-2963 | 2006-08-22 |
| 1285749986 | Charles E. W. Berthold | Psychologist | 405 Illinois Ave, Ste 2c, St Charles, IL 60174-2963 | 2006-08-20 |
| 1194839233 | Rosemary Taylor | Psychologist | 405 Illinois Ave, Ste 2c, St Charles, IL 60174-2963 | 2006-08-18 |
| 1689788739 | Heather Harej | Psychologist | 405 Illinois Ave, Ste 2c, St Charles, IL 60174-2963 | 2006-08-18 |
| 1538273685 | John Michael Eppolito | Psychologist | 405 Illinois Ave, Ste 2c, St Charles, IL 60174-2963 | 2006-08-18 |
| 1659485878 | David Goodman, Ph.d. Psychologist Ltd. | Psychologist | 405 Illinois Ave, Suite 2c, St Charles, IL 60174-2963 | 2006-08-17 |
| 1174535702 | Tamara A Spratley | Psychologist | 405 Illinois Ave, Suite 2c, St Charles, IL 60174-2963 | 2006-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
| Find all providers in zip 60174 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265792097 | Maegan Jenkins | Psychologist | 525 Dunham Rd Ste 55, St Charles, IL 60174-1490 | 2012-05-27 |
| 1780981605 | Jesse Sekey | Psychologist | 1121 E Main St Ste 320, St Charles, IL 60174-2276 | 2011-02-14 |
| 1811042021 | Thomas Alden Blood | Psychologist | 39w870 Deer Run Dr, St Charles, IL 60175-6910 | 2007-01-25 |
| 1790846749 | Associates In Clinical Services | Psychologist | 215 S 4th Ave, St Charles, IL 60174 | 2006-12-13 |
| 1356455505 | Michael Pica | Psychologist | 3381 W Main St, Suite 1, St Charles, IL 60175-1008 | 2006-08-17 |
| 1033732003 | Alter Clinical Services LLC | Psychologist | 100 Illinois St Ste 200, St Charles, IL 60174-1867 | 2020-05-25 |
| 1801369848 | Toussaint David Whetstone | Psychologist | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2019-01-02 |
| 1801375209 | Cognitive Behavioral Care Incorporated | Psychologist | 525 Dunham Rd Ste 55, St Charles, IL 60174-1490 | 2018-08-07 |
| 1205358579 | Associates for Innovative Change | Psychologist | 210 S 5th St Ste 103, St Charles, IL 60174-2700 | 2017-07-08 |
| 1558816371 | Olesia Shalayska | Psychologist | 4n701 School Rd Ste A, St Charles, IL 60175 | 2016-08-22 |
| Find all providers in ST CHARLES | ||||
| City | ST CHARLES |
| Zip Code | 60174 |
Please comment or provide details below to improve the information on DR. DAVID GOODMAN.
| 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.